NPIMap

Organization Active NPI

State of Arizona/State Dept of Finance

Doing business as Arizona State Veteran Home Tucson

  • Skilled Nursing Facility
  • Tucson, AZ
National Provider Identifier
1336444181
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NCI212 Issued in AZ
Legal business name
STATE OF ARIZONA/STATE DEPT OF FINANCE
Doing business as
Arizona State Veteran Home Tucson
Practice address
555 East Ajo Way
Tucson, AZ 85713
Phone
(520) 638-2150
Fax
(520) 638-2166
NPI assigned
Jan 25, 2011
Last updated
May 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Bridgett Tucker
Title
Regional Business Office Manager
Phone
(623) 824-2458

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NCI-212 AZ
Skilled Nursing Facility 314000000X NCI212 AZ Primary

Addresses

Primary practice location

555 East Ajo Way
Tucson, AZ 85713

Mailing address

555 E Ajo Way
Tucson, AZ 85713-6104
Phone (520) 638-2150

Other identifiers 1

IdentifierTypeStateIssuer
691486MedicaidAZ

Other names 1

  • Arizona State Veteran Home Tucson Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110324000904 AZ Part A Provider - Skilled Nursing Facility 5991699647 Practice locations: Tucson, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336444181. Details of each certification follow.

Skilled nursing facility certification: CCN 035284

Legal name
ARIZONA DEPARTMENT OF VETERANS SERVICES
Doing business as
ARIZONA STATE VETERAN HOME - TUCSON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 23, 2012
Last certification
Jan 5, 2024
Beds
120
Ownership / control type
State
Multi-facility organization
Arizona Department of Veteran Services.
Organization structure
GovernmentNon-profit
Enrollment address
555 E Ajo Way
Tucson, AZ 85713-6104
Nursing home name
ARIZONA STATE VETERAN HOME-TUCSON

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Arizona State Veteran Home-TucsonCCN 035284 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Government - State
Certified
Feb 23, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120116.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2030761Arizona State Veteran Home - Tucson555 East Ajo Way, Tucson, AZ 85713Certificate of waiverOct 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Southern Arizona Mental32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Locations

3839 N 3rd St
Ste 209
Phoenix, AZ 85012

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Maureen Coady Individual W-2 Managing Employee Oct 31, 2011 1%
Arizona Department of Veterans Services Organization, Phoenix, AZ 5% Or Greater Direct Ownership Interest Jan 31, 2011

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Arizona State HospitalPhoenix, AZ, CCN 034021 Hospital 5% Or Greater Direct Ownership Interest Jan 1, 1966
Arizona Department of Veteran ServicesPhoenix, AZ, CCN 035234 Skilled nursing facility Other (100%) Nov 1, 1995
State of Arizona/State Dept of FinanceYuma, AZ, CCN 035303 Skilled nursing facility 5% Or Greater Direct Ownership Interest (5%) Oct 3, 2022

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1336444181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E AJO WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136104",
            "telephone_number": "520-638-2150",
            "fax_number": "520-638-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 EAST AJO WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85713",
            "telephone_number": "520-638-2150",
            "fax_number": "520-638-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ARIZONA/STATE DEPT OF FINANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "BRIDGETT",
        "authorized_official_title_or_position": "REGIONAL BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "623-824-2458"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI-212",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691486",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona State Veteran Home Tucson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.