Immaculate Adult Care Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9634H Issued in AZ

Legal business name

IMMACULATE ADULT CARE HOME LLC

Practice address

9241 E 26TH St
Tucson, AZ 85710-8607

Phone

(520) 867-1131

NPI assigned

May 22, 2015

Last updated

May 22, 2015By 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

Ms. Lowela Baronia

Title

Caregiver

Phone

(520) 867-1131

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1487033536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9241 E 26TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857108607",
            "telephone_number": "520-867-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9241 E 26TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857108607",
            "telephone_number": "520-867-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE ADULT CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "BARONIA",
        "authorized_official_first_name": "LOWELA",
        "authorized_official_title_or_position": "CAREGIVER",
        "authorized_official_telephone_number": "520-867-1131",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL9634H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Tucson, AZ
• Providers in Tucson, 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 May 22, 2015; 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.