Active NPI
113 N Senior Care Center LLC
- Assisted Living Facility
- Tucson, AZ
National Provider Identifier
1396590634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- 113 N SENIOR CARE CENTER LLC
- Doing business as
- 113 N Senior Care Center LLC
- Practice address
- 113 N Avenida de San Ramon
Tucson, AZ 85710-2111 - Phone
- (520) 546-9132
- NPI assigned
- Apr 19, 2024
- Last updated
- Apr 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Otto Woodring
- Title
- Owner
- Phone
- (757) 567-1150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
113 N Avenida de San Ramon
Tucson, AZ 85710-2111
Mailing address
7605 Blanton Rd
Spotsylvania, VA 22551-3036
Phone (757) 567-1150
Other names 1
- 113 N Senior Care Center LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713484800000",
"number": "1396590634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7605 BLANTON RD",
"city": "SPOTSYLVANIA",
"state": "VA",
"postal_code": "225513036",
"telephone_number": "757-567-1150"
},
{
"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": "520-546-9132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "113 N SENIOR CARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-19",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A",
"authorized_official_last_name": "WOODRING",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "OTTO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-567-1150"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "113 N Senior Care Center LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.