Villa Fatima Oro Valley LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VILLA FATIMA ORO VALLEY LLC

Doing business as

Villa Fatima Oro Valley

Practice address

1119 E Rancho Vistoso Blvd
Oro Valley, AZ 85755-9106

Phone

(520) 903-4099

Fax

(520) 844-1060

NPI assigned

Aug 30, 2012

Last updated

Aug 30, 2012By 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

Mr. Kelly Copeland

Title

Manager

Phone

(520) 903-4099

Specialties & licenses 1

Addresses

Other names 1

• Villa Fatima Oro Valley Doing business as

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1205185634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 E RANCHO VISTOSO BLVD",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857559106",
            "telephone_number": "520-903-4099",
            "fax_number": "520-844-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 E RANCHO VISTOSO BLVD",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857559106",
            "telephone_number": "520-903-4099",
            "fax_number": "520-844-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA FATIMA ORO VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "520-903-4099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Fatima Oro Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.