Organization Active NPI

Haven Springs at Tucson, LLC

Doing business as Haven Springs at Tucson

  • Assisted Living Facility
  • Tucson, AZ
National Provider Identifier
1508670084
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HAVEN SPRINGS AT TUCSON, LLC
Doing business as
Haven Springs at Tucson
Practice address
5962 E Eastland St
Tucson, AZ 85711-4636
Phone
(520) 223-5792
NPI assigned
Feb 4, 2025
Last updated
Feb 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Krishan Jitendrabhai
Title
Owner
Phone
(520) 223-5792

Specialties & licenses 1

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

Addresses

Primary practice location

5962 E Eastland St
Tucson, AZ 85711-4636

Mailing address

5962 E Eastland St
Tucson, AZ 85711-4636

Other names 1

  • Haven Springs at Tucson Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1508670084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5962 E EASTLAND ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857114636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5962 E EASTLAND ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857114636",
            "telephone_number": "520-223-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN SPRINGS AT TUCSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "JITENDRABHAI",
        "authorized_official_first_name": "KRISHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-223-5792"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Springs at Tucson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 4, 2025; 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.