SRCV-Rosa, LLC.

Skilled Nursing Facility · Tucson, AZ

Organization Active NPI

NPI number 1205848405

Practice location

1650 N Santa Rosa Ave
Tucson, AZ 85712-4039
Phone
(520) 795-1610
Fax
(520) 319-8046

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NPI record

NPI
1205848405
Entity type
Organization (Type 2)
Enumeration date
August 13, 2006
Last updated
May 15, 2025
Certified
May 15, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X NCI2621 AZ

Authorized official

Name
Brian D. Balliet
Title
Administrator
Phone
(520) 795-1610

Other names

  • Santa Rosa Care Center

About SRCV-Rosa, LLC.

SRCV-Rosa, LLC. is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 1650 N Santa Rosa Ave, Tucson, AZ 85712-4039. The NPI number 1205848405 was assigned on August 13, 2006 and the record was last updated on May 15, 2025.

SRCV-Rosa, LLC. lists a license in the registry: #NCI2621 (AZ) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Brian D. Balliet, Administrator.

Frequently asked questions

What is the NPI number of SRCV-Rosa, LLC.?

The NPI number is 1205848405.

What is the phone number of SRCV-Rosa, LLC.?

The phone number listed for the practice location is (520) 795-1610.

Where is SRCV-Rosa, LLC. located?

1650 N Santa Rosa Ave, Tucson, AZ 85712-4039.

What is the taxonomy code for SRCV-Rosa, LLC.?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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