Organization Active NPI

Soreo Select LLC

  • Home Health Agency
  • Tucson, AZ
National Provider Identifier
1356789648
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
XXXX Issued in AZ
Legal business name
SOREO SELECT LLC
Practice address
1632 N Country Club Rd
Tucson, AZ 85716-3119
Phone
(520) 321-4477
Fax
(866) 260-0343
NPI assigned
Jun 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Authorized official

Name
Raymond Wallace
Title
Administrator
Phone
(520) 321-4477

Specialties & licenses 1

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

Addresses

Primary practice location

1632 N Country Club Rd
Tucson, AZ 85716-3119

Mailing address

1632 N Country Club Rd
Tucson, AZ 85716-3119
Phone (520) 321-4477

National Provider Directory

National Provider Directory

Locations

1632 N Country Club Rd
Tucson, AZ 85716
Phone (520) 207-6587

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1356789648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 N COUNTRY CLUB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163119",
            "telephone_number": "520-321-4477",
            "fax_number": "866-260-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 N COUNTRY CLUB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163119",
            "telephone_number": "520-321-4477",
            "fax_number": "866-260-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOREO SELECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-321-4477"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "XXXX",
            "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 Jul 1, 2014; 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.