Healthcare Provider Details

I. General information

NPI: 1801701552
Provider Name (Legal Business Name): FALCON HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 S CHURCH AVE STE 1200
TUCSON AZ
85701-1601
US

IV. Provider business mailing address

2745 WARMSTONE CT
CASTLE ROCK CO
80109-4725
US

V. Phone/Fax

Practice location:
  • Phone: 719-761-2554
  • Fax:
Mailing address:
  • Phone: 719-761-2554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RODRIC FALCON
Title or Position: OWNER/NP
Credential:
Phone: 719-761-2554