Organization Active NPI

Pvaa Healthcare Services Inc.

  • Home Health Agency
  • Tucson, AZ
National Provider Identifier
1205186202
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA5246 Issued in AZ
Legal business name
PVAA HEALTHCARE SERVICES INC.
Practice address
5315 East Broadway Blvd Suite 208B
Tucson, AZ 85711
Phone
(520) 207-9315
NPI assigned
Sep 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Mrs. Pauline A Taku, RN
Title
Administrator
Phone
(520) 207-9315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA5246 AZ Primary

Addresses

Primary practice location

5315 East Broadway Blvd Suite 208B
Tucson, AZ 85711

Mailing address

7390 E Sycamore Park Blvd
Tucson, AZ 85756-6122
Phone (520) 207-9315

National Provider Directory

National Provider Directory

Locations

5315 E Broadway Blvd
Ste 208B
Tucson, AZ 85711
Phone (520) 207-9315

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1205186202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7390 E SYCAMORE PARK BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857566122",
            "telephone_number": "520-207-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 EAST BROADWAY BLVD SUITE 208B",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85711",
            "telephone_number": "520-207-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PVAA HEALTHCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "TAKU",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-207-9315",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA5246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.