Tucson Hacienda River, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCI-1980 Issued in AZ

Legal business name

TUCSON HACIENDA RIVER, LLC

Practice address

2720 E River Road
Tucson, AZ 85718

Phone

(520) 485-1020

NPI assigned

Mar 24, 2017

Organization subpart

No

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

Authorized official

Name

Greta Frazier

Title

Director

Phone

(520) 797-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Tucson Hacienda River, LLC

  • Physical Therapy Clinic/Center
  • Tucson, AZ
  • NPI 1194295733
  NPPES parent name

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1609307354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 E RIVER ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85718",
            "telephone_number": "520-485-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 E RIVER ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85718",
            "telephone_number": "520-485-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCSON HACIENDA RIVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "GRETA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-797-4000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI-1980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
            "identifier": "NCI-1980",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tucson Family Practice
• Tucson Family Practice LLC
• Tucson Gastroenterology Institute, LLC
• Tucson Gastroenterology Specialists, PC
• Tucson Hacienda River, LLC
• Tucson Health & Resource Center LLC
• Tucson Health Services, LLC
• Tucson Hearing Clinics, Inc
• Tucson Hearing Clinics, Inc.
• Tucson Hearing Clinics, Inc.

• Skilled Nursing Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.