Healthcare Provider Details

I. General information

NPI: 1942510201
Provider Name (Legal Business Name): LUTHERAN SOCIAL SERVICES OF THE SOUTHWEST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2010
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3777 E BROADWAY BLVD STE 100
TUCSON AZ
85716-5416
US

IV. Provider business mailing address

3636 N CENTRAL AVE STE 300
PHOENIX AZ
85012-8511
US

V. Phone/Fax

Practice location:
  • Phone: 520-748-2300
  • Fax:
Mailing address:
  • Phone: 480-396-3795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: CONNIE PHILLIPS
Title or Position: PRESIDENT & CEO
Credential: MSW
Phone: 480-396-3795