National Provider Identifier Database

THE JOHN AND JOSEPHINE ROSE LIVING NETWORK FOUNDATION
Rehabilitation, Substance Use Disorder

Contact Information

THE JOHN AND JOSEPHINE ROSE LIVING NETWORK FOUNDATION
5541 E GRANT RD
TUCSON, AZ  85712-2209
Phone: 520-704-8310
Fax: 520-848-3611
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X
Adult Mental Health 261QM0850X
Case Management 251B00000X
Community Health 261QC1500X
Community/Behavioral Health 251S00000X
Early Intervention Provider Agency 252Y00000X
Health Service 261QH0100X
Home Health 251E00000X
Local Education Agency (LEA) 251300000X
Mental Health (Including Community Mental Health Center) 261QM0801X
Non-emergency Medical Transport (VAN) 343900000X
Prison Health 261QP2400X
Respite Care 385H00000X
Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for THE JOHN AND JOSEPHINE ROSE LIVING NETWORK FOUNDATION

NPI Number 1306567409
Legal business name
LBN		 THE JOHN AND JOSEPHINE ROSE LIVING NETWORK FOUNDATION
Authorized official JAMES ROSE - (PRESIDENT/CEO)
Entity Organization
Organization subpart No
Enumeration date 09/07/2022
Last updated 09/07/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 095189
  • AZ Medicaid: 096451
  • AZ Medicaid: 107487
  • Other: HHA-00001 BANNER UNIVERSITY FAMILY CARE UFC

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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