NPIMap

Organization Active NPI

Jady Gaurdian LLC

  • Nursing Facility/Intermediate Care Facility
  • Tucson, AZ
National Provider Identifier
1366164683
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
JADY GAURDIAN LLC
Practice address
4302 E 14TH St
Tucson, AZ 85711-4212
Phone
(480) 452-8260
NPI assigned
Sep 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Jeanette Boit-KaniaNPI 1700458924
Title
Cfo
Phone
(763) 498-1172

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

4302 E 14TH St
Tucson, AZ 85711-4212

Mailing address

4302 E 14TH St
Tucson, AZ 85711-4212
Phone (480) 452-8260

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1366164683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 E 14TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857114212",
            "telephone_number": "480-452-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 E 14TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857114212",
            "telephone_number": "480-452-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADY GAURDIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "BOIT-KANIA",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "763-498-1172"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "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 Sep 13, 2022; 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.