NPIMap

Organization Active NPI

Azi House LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Tucson, AZ
National Provider Identifier
1629305495
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
AZI HOUSE LLC
Doing business as
Azi House one
Practice address
6914 S Bittercress Rd
Tucson, AZ 85756
Phone
(240) 643-0815
NPI assigned
Nov 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Authorized official

Name
Mr. Michael Atabongnkeng Fuangunyi
Title
Statutory Agent
Phone
(240) 643-0815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

6914 S Bittercress Rd
Tucson, AZ 85756

Mailing address

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

Other names 1

  • Azi House one Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1258243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1629305495",
    "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": "6914 S BITTERCRESS RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85756",
            "telephone_number": "240-643-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZI HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-15",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "FUANGUNYI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ATABONGNKENG",
        "authorized_official_title_or_position": "STATUTORY AGENT",
        "authorized_official_telephone_number": "240-643-0815",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azi House one",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Azi House one",
            "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 Dec 27, 2019; 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.