; NPI #1275428419

Contact Information

CAMERON G KIRK LUTCHER, DSP

2020 E INVERNESS AVE APT 1022
MESA, AZ 85204-6972

Phone: 541-650-2464
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Respite Care, Intellectual and/or Developmental Disabilities	385HR2060X
Adult Companion	372600000X
Chore Provider	372500000X
Day Training, Developmentally Disabled Services	251C00000X
Day Traning/Habilitation Specialist	373H00000X
Homemaker	376J00000X
Personal Care Attendant	3747P1801X
Respite Care	385H00000X
Respite Care, Mental Illness, Child	385HR2055X
Respite Care, Physical Disabilities, Child	385HR2065X

Indicates primary specialty

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NPI Profile & details for

NPI #	`1275428419`
Entity	Organization
Organization subpart ¹	Not specified
Enumeration date	06/10/2025
Last updated	06/10/2025 - About 12 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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