Organization Active NPI

Savannah Residential Home LLC

  • Community/Behavioral Health Agency
  • Tucson, AZ
National Provider Identifier
1437815552
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SAVANNAH RESIDENTIAL HOME LLC
Practice address
5578 N Morning Spring Ave
Tucson, AZ 85741-3879
Phone
(785) 462-0247
NPI assigned
Nov 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Authorized official

Name
Joyce Cheptoo Korir-Denton
Title
LPN/ Ceo
Phone
(785) 462-0247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5578 N Morning Spring Ave
Tucson, AZ 85741-3879

Mailing address

5578 N Morning Spring Ave
Tucson, AZ 85741-3879
Phone (785) 462-0247

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1437815552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5578 N MORNING SPRING AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413879",
            "telephone_number": "785-462-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5578 N MORNING SPRING AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413879",
            "telephone_number": "785-462-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH RESIDENTIAL HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "KORIR-DENTON",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "CHEPTOO",
        "authorized_official_title_or_position": "LPN/ CEO",
        "authorized_official_telephone_number": "785-462-0247"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Nov 12, 2021; 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.