BREANNA BERGREN (NPI# 1700251238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700251238 |
| Entity Type | Organization |
| Organization Name | BREANNA BERGREN |
| Other Organization Name | BREANNA HARDY |
| Practice Address |
6936 S Blueeyes Dr Tucson AZ 85756-5127 |
| Practice Telephone | 2072499991 |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |
| Authorized Official Name | BREANNA BERGREN (REGISTERED OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 2072499991 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 5930 | AZ | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Breanna hardy | Former Legal Business Name - Organization |
| Street Address |
6936 S BLUEEYES DR |
| City | TUCSON |
| State | AZ |
| Zip Code | 85756-5127 |
| 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 |
| 1629305495 | Azi House LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6914 S Bittercress Rd, Tucson, AZ 85756 | 2009-11-15 |
| 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 |
| Find all providers in zip 85756 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630175 | P. Deanda Medical Pllc | Skilled Nursing Facility | 1950 W Paseo Monserrat, Tucson, AZ 85704-1329 | 2020-05-12 |
| 1780106765 | Moc Tucson, LLC | Skilled Nursing Facility | 5151 East Pima Street, Tucson, AZ 85712 | 2017-07-12 |
| 1609307354 | Tucson Hacienda River, LLC | Skilled Nursing Facility | 2720 E River Road, Tucson, AZ 85718 | 2017-03-24 |
| 1891234126 | Center At Tucson, LLC | Skilled Nursing Facility | 5020 East Glen Street, Tucson, AZ 85712 | 2017-02-20 |
| 1336444181 | State of Arizona/state Dept of Finance | Skilled Nursing Facility | 555 East Ajo Way, Tucson, AZ 85713 | 2011-01-25 |
| 1649422486 | Tucson Family Home Health | Skilled Nursing Facility | 5920 N Camino Esplendora, Tucson, AZ 85718-4508 | 2008-10-10 |
| 1891955837 | Peoplefirst Rehabilitation | Skilled Nursing Facility | 5545 E Lee St, Tucson, AZ 85712-4205 | 2008-06-12 |
| 1952598302 | Kathleen Williams | Skilled Nursing Facility | 13750 N Seifert Estates Dr, Tucson, AZ 85755-8654 | 2007-10-01 |
| 1609061878 | Tucson Mather Plaza, LLC | Skilled Nursing Facility | 13500 N Rancho Vistoso Blvd, Attn: Accounting-tom Rios, Tucson, AZ 85755-5951 | 2007-09-11 |
| 1902953813 | Villa Maria Care Center, LLC | Skilled Nursing Facility | 4310 E Grant Rd, Tucson, AZ 85712-2607 | 2007-01-04 |
| Find all providers in TUCSON | ||||
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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.