BKD North Tucson, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BKD NORTH TUCSON, LLC

Doing business as

Brookdale North Tucson

Practice address

2650 W Ina Rd
Tucson, AZ 85741-4210

Phone

(520) 229-0232

NPI assigned

Mar 25, 2024

Last updated

Apr 4, 2024By 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

Anna Munoz

Title

Assistant Secretary

Phone

(414) 918-5443

Specialties & licenses 1

Addresses

Other names 1

• Brookdale North Tucson Doing business as

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1487404364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 W INA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857414210",
            "telephone_number": "520-229-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 W INA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857414210",
            "telephone_number": "520-229-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BKD NORTH TUCSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "414-918-5443"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale North Tucson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookdale North Tucson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larisa D Biznichuk, PMHNP
• Anna Louise Bjorgum, FNP
• Kevin Bjork
• Shawn Bjorndal, PHARM.D.
• Bka PLLC
• BKD Personal Assistance Services LLC (Brookdale at Home Santa Catalina)
• BKD Tanque Verde, LLC (Brookdale Tanque Verde)
• Melisa Jo Blachly, FNP-C
• Christie Rae Black Wissinger, R.N.
• Pamela K Black-Davis, M. D.

• 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 Apr 4, 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.

Verify at the official NPI Registry.