Srcv-Rosa, LLC.
Srcv-Rosa, LLC. is a healthcare organization registered as Skilled Nursing Facility in Tucson, AZ, holding Type 2 (organization) NPI 1205848405 since 2006. The authorized official on file is Brian Balliet, Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205848405 |
|---|---|
| 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 | 5207951610 |
| Fax | 5203198046 |
| Enumeration date | 2006-08-13 |
| Last updated in NPPES | 2025-05-15 |
Authorized official
| Name | Brian Balliet |
|---|---|
| Title | Administrator |
| Phone | 5207951610 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | NCI2621 | AZ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 792491 | Medicaid | AZ | — |
Copy-ready billing details
Provider: Srcv-Rosa, LLC. NPI: 1205848405 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 1650 N SANTA ROSA AVE, Tucson, AZ, 85712
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1750962999 | Tara Toone | Individual | Physical Therapy Assistant | Tucson, AZ |
| 1689561722 | Rillito River Healthcare, Inc. | Organization | Skilled Nursing Facility | Tucson, AZ |
Verify this record
Cross-check NPI 1205848405 against the authoritative CMS record: view Srcv-Rosa, LLC. on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Srcv-Rosa, LLC.?
What is the NPI number for Srcv-Rosa, LLC.?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2025-05-15.