AZI HOUSE LLC (NPI# 1629305495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629305495 |
Entity Type | Organization |
Organization Name | AZI HOUSE LLC |
Other Organization Name | AZI HOUSE ONE |
Practice Address |
6914 S Bittercress Rd Tucson AZ 85756 |
Mailing Address |
5986 S Jakemp Trl Tucson AZ 85747-6003 |
Practice Telephone | 2406430815 |
Mailing Telephone | 2406430815 |
Enumeration Date | 2009-11-15 |
Last Update Date | 2019-12-27 |
Authorized Official Name | MR. MICHAEL ATABONGNKENG FUANGUNYI (STATUTORY AGENT) |
Authorized Official Telephone | 2406430815 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Azi House one | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992303374 | Azi House LLC | Assisted Living Facility | 1200 W Chapala Dr, Tucson, AZ 85704-4521 | 2020-10-16 |
1447872981 | Azi House LLC | Assisted Living Facility | 6840 N Cassim Pl, Tucson, AZ 85704-1261 | 2020-05-07 |
Street Address |
6914 S BITTERCRESS RD |
City | TUCSON |
State | AZ |
Zip Code | 85756 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932748738 | Fanna Care LLC | Community/Behavioral Health | 6914 S Bittercress Rd, Tucson, AZ 85756-5147 | 2019-12-27 |
1518240050 | Michael Fuangunyi | Pharmacist | 6914 S Bittercress Rd, Tucson, AZ 85756-5147 | 2011-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811598121 | Smsj Tucson Holdings LLC | General Acute Care Hospital | 7401 S Wilmot Rd, Tucson, AZ 85756 | 2020-11-03 |
1588154447 | Patrick Thurman | Counselor | 7612 E Autumn Leaf Dr, Tucson, AZ 85756 | 2018-05-16 |
1215316120 | Carlos Godoy | Contractor | 6108 E Bramble St, Tucson, AZ 85756 | 2015-05-26 |
1023388279 | Julie Marie Shute | Nurse Practitioner | 10000 S Wimot Rd, Tucson, AZ 85756 | 2012-01-05 |
1710267968 | Pneuma House | Community Based Residential Treatment Facility, Mental Illness | 4035 E Stony Meadow Drive, Tucson, AZ 85756 | 2011-08-19 |
1477162469 | Sarah Shellhouse | Respite Care | 4035 E Stony Meadow Dr, Tucson, AZ 85756-3076 | 2020-07-27 |
1154707040 | Jermaine Taylor | Specialist/Technologist, Other | 4147 E Stony Meadow Dr, Tucson, AZ 85756-3077 | 2015-08-03 |
1952868127 | M. Cristina Rivera Figueroa | Behavior Technician | 4251 E Shadow Branch Dr, Tucson, AZ 85756-3093 | 2019-02-25 |
1548817497 | Christus Group Home | Community Based Residential Treatment Facility, Mental Illness | 6986 S Red Maids Dr, Tucson, AZ 85756-5100 | 2019-08-23 |
1770194557 | Best Care Behavioral Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 6986 S Red Maids Dr, Tucson, AZ 85756-5100 | 2020-08-13 |
Find all providers in zip 85756 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447812755 | Altera Vita LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7632 E Fair Meadows Loop, Tucson, AZ 85756-6151 | 2019-07-08 |
1447615042 | Cobros IIi, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7336 E 28th Pl, Tucson, AZ 85710-5559 | 2015-12-23 |
1770853921 | Chapl Haven West, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1701 N Park Ave, Tucson, AZ 85719-3584 | 2012-01-05 |
1417269176 | Tina Tony Residential | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5907 E Sanderling Dr, Tucson, AZ 85756-8630 | 2010-07-10 |
1538309760 | Rescued Helpers Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1031 East 28th Street, Tucson, AZ 85713-3221 | 2009-02-27 |
1104900356 | Zarephath, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5230 S. Missiondale Rd., Tucson, AZ 85706 | 2006-10-24 |
1811079676 | Zarephath, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2194 W Painted Sunset Cir, Tucson, AZ 85745-7032 | 2006-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528673548 | Above and Beyond Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1430 E Adams St, Phoenix, AZ 85034-1348 | 2020-09-15 |
1326652652 | Audacious Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1922 W Las Palmaritas Dr Apt J110, Phoenix, AZ 85021-5041 | 2020-09-03 |
1336751544 | Making Better Moves LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2314 W Saint Kateri Dr, Phoenix, AZ 85041-5342 | 2020-08-19 |
1679182042 | Home Care Sweet Home, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4522 E Michigan Ave, Phoenix, AZ 85032-1586 | 2020-07-30 |
1023626090 | 1 Family Clinic LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 315 W Elliot Rd Ste 107, Tempe, AZ 85284-1328 | 2020-07-16 |
1184240731 | Embrace Hope Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7707 W Kerby Ave, Phoenix, AZ 85043-1677 | 2020-06-19 |
1457976813 | Cactus Wren Community Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3829 W Pollack St, Phoenix, AZ 85041-6118 | 2020-06-11 |
1972127462 | Hope Haven LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6802 S 42nd Dr, Phoenix, AZ 85041-3509 | 2020-06-01 |
1285258848 | Arizona Center for Family Betterment LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18444 N 25th Ave Ste 4, Phoenix, AZ 85023-1261 | 2020-05-29 |
1780206466 | Solutions Integrated LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4150 N 12th St, Phoenix, AZ 85014-4994 | 2020-05-15 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.