Organization Active NPI

Neemahome1 LLC

  • Community/Behavioral Health Agency
  • Tucson, AZ
National Provider Identifier
1043658115
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH4178 Issued in AZ
Legal business name
NEEMAHOME1 LLC
Practice address
6607 E Hawk Dr
Tucson, AZ 85730-3249
Phone
(520) 745-5361
Fax
(520) 745-5361
NPI assigned
Jun 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Authorized official

Name
Miss Mary Wambaire I, OWNER
Title
Program Director
Phone
(520) 248-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH4178 AZ Primary

Addresses

Primary practice location

6607 E Hawk Dr
Tucson, AZ 85730-3249

Mailing address

6607 E Hawk Dr
Tucson, AZ 85730-3249
Phone (520) 745-5361

National Provider Directory

National Provider Directory
Tax ID family
Neemahome1 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1043658115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6607 E HAWK DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857303249",
            "telephone_number": "520-745-5361",
            "fax_number": "520-745-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6607 E HAWK DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857303249",
            "telephone_number": "520-745-5361",
            "fax_number": "520-745-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEEMAHOME1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "WAMBAIRE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "520-248-1919",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH4178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.