Rose, James Joseph

Rose, James Joseph is an sole proprietor health care provider with primary practice located at 4595 E Lester St , Tucson AZ 85712-3449. He recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Community Health Worker, Agencies / Case Management, Agencies / Home Health, Agencies / In Home Supportive Care, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Rose, James Joseph can be contacted via phone (520) 204-7958.

Contact Information

Primary practice address
4595 E Lester St Tucson AZ 85712-3449
Phone: (520) 204-7958
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Community Health Worker 172V00000X
Agencies / Case Management 251B00000X
Agencies / Home Health 251E00000X
Agencies / In Home Supportive Care 253Z00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1578135901
LBN Legal business name Rose, James Joseph
Credentials CFLE CASE MNGMNT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2021
Last updated Sep 6th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578135901 NPPES
Arizona MEDICAID 096451
Arizona MEDICAID 095189
Arizona MEDICAID 107487
Arizona Other HHA-00001

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