Active NPI
Pvaa Healthcare Services Inc.
- Home Health Agency
- Tucson, AZ
National Provider Identifier
1205186202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA5246
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.