Organization Active NPI

Allegiant Healthcare of Tucson LLC

  • Pediatric Skilled Nursing Facility
  • Tucson, AZ
National Provider Identifier
1235642042
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
Legal business name
ALLEGIANT HEALTHCARE OF TUCSON LLC
Practice address
2900 E Milber St
Tucson, AZ 85714-2097
Phone
(520) 294-0005
NPI assigned
Nov 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Authorized official

Name
Jake Weintraub
Title
Manager
Phone
(718) 812-7506

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X
Pediatric Skilled Nursing Facility 3140N1450X Primary

Addresses

Primary practice location

2900 E Milber St
Tucson, AZ 85714-2097

Mailing address

3130 E Broadway Rd
Mesa, AZ 85204-1740

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1235642042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852041740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 E MILBER ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857142097",
            "telephone_number": "520-294-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGIANT HEALTHCARE OF TUCSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "WEINTRAUB",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-812-7506"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "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 Nov 15, 2017; 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.