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Srcv-Rosa, LLC.

Skilled Nursing Facility in Tucson, AZ · enumerated 2006 · authorized official Brian Balliet, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205848405

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Registry record

Entity type Organization (Type 2)
Legal business name Srcv-Rosa, LLC.
Other name <Unavail>
Practice address 1650 N Santa Rosa Ave, Tucson, AZ, 85712
Phone (520) 795-1610
Fax (520) 319-8046
Enumeration date Aug 13, 2006
Last updated in NPPES May 15, 2025

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License NCI2621 (AZ) Primary

Authorized official

Name Brian Balliet
Title Administrator
Phone (520) 795-1610

Other identifiers

Identifier Type State Issuer
792491 Medicaid AZ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Srcv-Rosa, LLC.?
NPPES lists Brian Balliet (Administrator) as the authorized official for this organization.
What is the NPI number for Srcv-Rosa, LLC.?
The NPI for Srcv-Rosa, LLC. is 1205848405, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-15.