Catalina Village Assisted Living LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

314484 Issued in AZ

Legal business name

CATALINA VILLAGE ASSISTED LIVING LP

Doing business as

Catalina Village

Practice address

5324 E 1St St
Tucson, AZ 85711-7303

Phone

(520) 327-4010

Fax

(520) 327-9954

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Tracy M Fish

Title

Finance Manager

Phone

(602) 368-8203

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Catalina Village Doing business as

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144374745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 E SHEA BLVD",
            "address_2": "SUITE 133",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283358",
            "telephone_number": "602-368-8203",
            "fax_number": "602-368-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5324 E 1ST ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857117303",
            "telephone_number": "520-327-4010",
            "fax_number": "520-327-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATALINA VILLAGE ASSISTED LIVING LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "602-368-8203",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "314484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528391",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catalina Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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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 22, 2020; 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.