Active NPI
Marien Ulrich Ekandza Ebale
- Assisted Living Facility
- Tucson, AZ
National Provider Identifier
1093272064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL11036H
- Practice address
- 7131 N Via Assisi
Tucson, AZ 85704-4315 - Phone
- (520) 531-2364
- Fax
- (520) 575-9794
- NPI assigned
- Feb 26, 2019
- Last updated
- Feb 26, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL11036H | AR | Primary |
Addresses
Primary practice location
7131 N Via Assisi
Tucson, AZ 85704-4315
Mailing address
7131 N Via Assisi
Tucson, AZ 85704-4315
Phone (520) 531-2364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL11036H | AR | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Post-Acute Medical Services 1 PC | Past | Accepting new patients | |
| Hospitalists of Arizona, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1093254419
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1508194036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1093272064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7131 N VIA ASSISI",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857044315",
"telephone_number": "520-531-2364",
"fax_number": "520-575-9794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7131 N VIA ASSISI",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857044315",
"telephone_number": "520-531-2364",
"fax_number": "520-575-9794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EKANDZA EBALE",
"first_name": "MARIEN",
"middle_name": "ULRICH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-26",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AR",
"license": "AL11036H",
"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 Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.