Ar Advanced Care LLC

Organization Active NPI Family Nurse Practitioner · Tucson, AZ

NPI 1104662899 · NPPES record last updated Jul 2, 2024

Key facts

NPI
1104662899
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
Legal business name
AR ADVANCED CARE LLC
Practice address
6524 E Carondelet Dr BLDG D
Tucson, AZ 85710-2117
Phone
(520) 783-0600
Fax
(520) 783-2447
NPI assigned
Jul 2, 2024
Organization subpart
No

Authorized official

Name
Aimee K Ramos, FNP NPI 1922631209
Title
Owner
Phone
(520) 783-0600

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2308774Ar Advanced Care
6524 E Carondelet Dr BLDG D, Tucson, AZ 85710
Certificate of waiverAug 1, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AZ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240806003216 AZ Part B Supplier - Clinic/Group Practice 6002353224 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

Locations

6524 E Carondelet Dr
Bldg D
Tucson, AZ 85710
Phone (520) 290-1100

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LF0000X Yes

Addresses

Primary practice location

6524 E Carondelet Dr BLDG D
Tucson, AZ 85710-2117

Mailing address

PO Box 43130
Tucson, AZ 85733-3130
Phone (520) 783-0600

Other providers in Tucson, AZ

All providers in Tucson, AZ · Family Nurse Practitioner in Arizona

Sources for this page

Verify at the official NPI Registry.