Papa's Home

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

License

BH4977 Issued in AZ

Legal business name

PAPA'S HOME

Practice address

8784 E Desert Lupine PL
Tucson, AZ 85715-5911

Phone

(480) 267-6914

Fax

(520) 344-8892

NPI assigned

Sep 7, 2016

Last updated

Sep 7, 2016By 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

Tina Darlene Embree, LPN

Title

Administrator

Phone

(480) 267-6914

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1134676166",
    "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",
            "fax_number": "520-344-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8784 E DESERT LUPINE PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857155911",
            "telephone_number": "480-267-6914",
            "fax_number": "520-344-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAPA'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "EMBREE",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "14802676914",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "AZ",
            "license": "BH4977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlee Mallat Panther, MD
• Vania Michelle Pantoja
• Devi Paolillo, MFT
• Kelly Paolisso
• Stephen Francis Papa, PA
• Sotirios Michael Papazaharias
• Alena Papenfuss, DR.
• Jonathan Papic
• Ruth Anna Papin, FNP
• Papy McGuire Assisted Living Home LLC (papy mcguire)

• Mental Illness Intermediate Care Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Mental Illness Intermediate Care Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.