Amie Rose Assisted Living Home, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

AL9091H Issued in AZ

Legal business name

AMIE ROSE ASSISTED LIVING HOME, LLC

Practice address

2010 W Grant Rd
Tucson, AZ 85745-1108

Phone

(520) 241-9203

Fax

(520) 829-3424

NPI assigned

Feb 12, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ted Diaz Gadigan

Title

Owner/General Partner

Phone

(520) 241-9203

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1013331958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64248",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857284248",
            "telephone_number": "520-241-9203",
            "fax_number": "520-829-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451108",
            "telephone_number": "520-241-9203",
            "fax_number": "520-829-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIE ROSE ASSISTED LIVING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "GADIGAN",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "DIAZ",
        "authorized_official_title_or_position": "OWNER/GENERAL PARTNER",
        "authorized_official_telephone_number": "520-241-9203",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "AL9091H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.