Yuma Hospitality LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

YUMA HOSPITALITY LLC

Doing business as

River's Edge Assisted Living

Practice address

2050 S 4TH Ave
Yuma, AZ 85364-6401

Phone

(928) 276-9057

NPI assigned

Dec 30, 2019

Last updated

Dec 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carie Mojica

Title

Executive Director

Phone

(928) 276-9057

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• River's Edge Assisted Living Doing business as

Locations

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1407495096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 S 4TH AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646401",
            "telephone_number": "928-276-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 S 4TH AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646401",
            "telephone_number": "928-276-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUMA HOSPITALITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "MOJICA",
        "authorized_official_first_name": "CARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "928-276-9057"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "573877",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River's Edge Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yuma Hearing Inc. (Zounds Hearing Center)
• Yuma Hears LLC
• Yuma Heart and Medical Institute PLLC
• Yuma Heart Instititute LLC
• Yuma Heart Institute, LLC
• Yuma Infectious Diseases Center PLC
• Yuma Infusion Therapy, LLC (Altius Healthcare)
• Yuma Integrated Pain & Rehab
• Yuma Internal Medicine LLC
• Yuma Kidney & Dialysis Specialists PC

• Assisted Living Facility in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.