Healthcare Provider Details

I. General information

NPI: 1588962344
Provider Name (Legal Business Name): CARING CONNECTIONS FOR SPECIAL NEEDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2011
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 E 5TH ST
BENSON AZ
85602
US

IV. Provider business mailing address

7447 E 22ND ST
TUCSON AZ
85710-6428
US

V. Phone/Fax

Practice location:
  • Phone: 520-586-2070
  • Fax: 480-287-8448
Mailing address:
  • Phone: 520-639-9006
  • Fax: 520-721-6991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberBH-3764
License Number StateAZ

VIII. Authorized Official

Name: REX GLENN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 520-686-0884