A Breath of Life Care Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

A BREATH OF LIFE CARE HOME LLC

Practice address

1715 W.Calle Acapulco
Tucson, AZ 85713

Phone

(520) 589-3928

Fax

(520) 849-5386

NPI assigned

Aug 25, 2023

Last updated

Aug 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luis A Contreras, MN

Title

Certified Manager

Phone

(520) 589-3928

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1104601483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 W CALLE ACAPULCO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857135612",
            "telephone_number": "520-589-3928",
            "fax_number": "520-849-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 W.CALLE ACAPULCO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85713",
            "telephone_number": "520-589-3928",
            "fax_number": "520-849-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BREATH OF LIFE CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CERTIFIED MANAGER",
        "authorized_official_telephone_number": "520-589-3928",
        "authorized_official_credential": "MN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.