Organization Active NPI

Azi House LLC

  • Assisted Living Facility
  • Tucson, AZ
National Provider Identifier
1447872981
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AZI HOUSE LLC
Practice address
6840 N Cassim PL
Tucson, AZ 85704-1261
Phone
(240) 643-0815
NPI assigned
May 7, 2020
Last updated
May 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Authorized official

Name
Mr. Michael FuangunyiNPI 1518240050
Title
C.E.O
Phone
(520) 771-8605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

6840 N Cassim PL
Tucson, AZ 85704-1261

Mailing address

5986 S Jakemp TRL
Tucson, AZ 85747-6003
Phone (240) 643-0815

Other identifiers 1

IdentifierTypeStateIssuer
AL11485HMedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Azi House LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1447872981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5986 S JAKEMP TRL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857476003",
            "telephone_number": "240-643-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 N CASSIM PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041261",
            "telephone_number": "240-643-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZI HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "FUANGUNYI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "520-771-8605",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AL11485H",
            "state": "AZ"
        }
    ],
    "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 May 7, 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.