Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Catholic Community Services of Southern Arizona

Organization Custodial Care Facility · NPI 1316263643

Catholic Community Services of Southern Arizona is a Custodial Care Facility in Tucson, Arizona. Licensed in Arizona. Registered with an NPI since 2010.

Licensed in
AZ
In the registry since
2010

Practice location Address checks out

140 W Speedway Blvd Ste 130
Tucson, AZ 85705-7686
Phone: (520) 623-0344
Fax: (520) 770-8578
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Custodial Care Facility (primary) Taxonomy 311Z00000X · Licence BH914 (AZ)

Record details

NPI number1316263643
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCatholic Community Services of Southern Arizona
Authorized official Mary Anne Bogosoff — Program Director · (520) 770-8517
Other names Merilac Lodge
NPI enumeratedApril 12, 2010
Last updated in NPPESApril 12, 2010
Mailing address5138 E 2nd St, Tucson, AZ 85711-1309

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