Organization Active NPI

Eaz-Barakeh

Doing business as First Adult Care Home

  • Chore Provider
  • Tucson, AZ
National Provider Identifier
1386278877
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chore ProviderTaxonomy code 372500000X
Legal business name
EAZ-BARAKEH
Doing business as
First Adult Care Home
Practice address
3925 N 1St Ave
Tucson, AZ 85719-1305
Phone
(520) 887-0265
Fax
(520) 303-3454
NPI assigned
Feb 24, 2020
Last updated
Feb 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Authorized official

Name
Ahmed Gaber
Title
Owner
Phone
(520) 241-9299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X NU Primary

Addresses

Primary practice location

3925 N 1St Ave
Tucson, AZ 85719-1305

Mailing address

3925 N 1St Ave
Tucson, AZ 85719-1305
Phone (520) 887-0265

Other identifiers 1

IdentifierTypeStateIssuer
AL-11385HOtherAZASSISTED LIVING HOME

Other names 1

  • First Adult Care Home Doing business as

National Provider Directory

National Provider Directory

Locations

3925 N 1st Ave
Tucson, AZ 85719
Phone (520) 887-0265

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1386278877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 N 1ST AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191305",
            "telephone_number": "520-887-0265",
            "fax_number": "520-303-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 N 1ST AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191305",
            "telephone_number": "520-887-0265",
            "fax_number": "520-303-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAZ-BARAKEH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "GABER",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-241-9299"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING HOME",
            "identifier": "AL-11385H",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Adult Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 24, 2020; 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.