Active NPI
Jr Caring Hearts, LLC
- Assisted Living Facility
- Sierra Vista, AZ
National Provider Identifier
1124513205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- JR CARING HEARTS, LLC
- Practice address
- 425 Bernini Ave
Sierra Vista, AZ 85635-2369 - Phone
- (520) 820-8147
- Fax
- (520) 685-2565
- NPI assigned
- Jun 29, 2018
- 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
- Rosemary Kagwanja
- Title
- Director
- Phone
- (520) 820-8147
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | |||
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | |||
| Assisted Living Facility | 310400000X | Primary | ||
| Custodial Care Facility | 311Z00000X | |||
| Adult Care Home Facility | 311ZA0620X | |||
| Nursing Facility/Intermediate Care Facility | 313M00000X | |||
| Physical Disabilities Residential Treatment Facility | 320700000X | |||
| Respite Care | 385H00000X | |||
| Respite Care Camp | 385HR2050X | |||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
Primary practice location
425 Bernini Ave
Sierra Vista, AZ 85635-2369
Mailing address
425 Bernini Ave
Sierra Vista, AZ 85635-2369
Phone (520) 820-8147
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.
-
- Nursing Home Administrator
- Sierra Vista, AZ
- NPI 1750806758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1530230400000",
"number": "1124513205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 BERNINI AVE",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352369",
"telephone_number": "520-820-8147",
"fax_number": "520-685-2565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 BERNINI AVE",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352369",
"telephone_number": "520-820-8147",
"fax_number": "520-685-2565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JR CARING HEARTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-29",
"last_updated": "2018-06-29",
"status": "A",
"authorized_official_last_name": "KAGWANJA",
"authorized_official_first_name": "ROSEMARY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "520-820-8147"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": false
},
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": null,
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": false
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2050X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care Camp",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.