Bansa House LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

BANSA HOUSE LLC

Practice address

7225 E Stella Rd
Tucson, AZ 85730-2336

Phone

(520) 891-0513

NPI assigned

Oct 23, 2018

Last updated

Jan 8, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

BANSA ENTERPRISES INCAs reported in NPPES

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

Authorized official

Name

Agendia TakuNPI 1417774563

Title

Member

Phone

(520) 388-9814

Specialties & licenses 3

Addresses

Part of

Bansa Enterprises Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Agendia Taku, DENG

  • Behavior Technician
  • Houston, TX
  • NPI 1417774563
  NPD Authorized official

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1144796681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6788 S SONORAN BLOOM AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857563040",
            "telephone_number": "520-891-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 E STELLA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857302336",
            "telephone_number": "520-891-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANSA HOUSE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANSA ENTERPRISES INC",
        "enumeration_date": "2018-10-23",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "TAKU",
        "authorized_official_first_name": "AGENDIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "520-388-9814"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Banner-University Medical Group
• Tamilyn Banno, LAC
• Bansa Enterprises Inc (Desert Steppes)
• Bansa Enterprises Inc
• Bansa Enterprises Inc (Desert Steppes Adult Care)
• Kabir Bansal
• Dawn Anne Bantel, NMD
• Mary Jane Banwell, R.N.
• Banyan Integrative Health LLC
• Jennifer Margaret Bao, MD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.