Active NPI
Carmen'S Home
- Adult Care Home Facility
- Tucson, AZ
National Provider Identifier
1093220162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- BH5355
- Legal business name
- CARMEN'S HOME
- Practice address
- 7466 E 18TH St
Tucson, AZ 85710-4907 - Phone
- (520) 788-3041
- Fax
- (520) 344-8892
- NPI assigned
- Dec 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy E Colombo
- Title
- Provider
- Phone
- (520) 788-3041
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | BH5355 | AZ | Primary |
Addresses
Primary practice location
7466 E 18TH St
Tucson, AZ 85710-4907
Mailing address
994 S Harrison Rd
Tucson, AZ 85748-6608
Phone (520) 721-1887
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Contractor
- Tucson, AZ
- NPI 1669830394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512950400000",
"number": "1093220162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "994 S HARRISON RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857486608",
"telephone_number": "520-721-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7466 E 18TH ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857104907",
"telephone_number": "520-788-3041",
"fax_number": "520-344-8892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARMEN'S HOME",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-11",
"last_updated": "2017-12-11",
"status": "A",
"authorized_official_last_name": "COLOMBO",
"authorized_official_first_name": "TRACY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "520-788-3041"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "AZ",
"license": "BH5355",
"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 Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.