Tucson Senior Care Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TUCSON SENIOR CARE HOME LLC

Practice address

113 N Avenida de San Ramon
Tucson, AZ 85710-2111

Phone

(951) 219-6770

Fax

(602) 542-0900

NPI assigned

Jan 5, 2023

Last updated

Oct 3, 2023By 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

Andrew John Hernandez, CEO

Title

Owner/Ceo

Phone

(951) 219-6770

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1235843194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N AVENIDA DE SAN RAMON",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102111",
            "telephone_number": "951-219-6770",
            "fax_number": "602-542-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N AVENIDA DE SAN RAMON",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102111",
            "telephone_number": "951-219-6770",
            "fax_number": "602-542-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCSON SENIOR CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "951-219-6770",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrewhernandez@andelly.com",
            "affiliation": "N",
            "endpointDescription": "Assisted Living Home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "113 N Avenida De San Ramon",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857102111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Assisted Living Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.