Tiny Residence, LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

TINY RESIDENCE, LLC

Practice address

1354 E Racine Dr
Casa Grande, AZ 85122-6786

Phone

(520) 553-9964

Fax

(520) 650-2331

NPI assigned

Apr 18, 2023

Organization subpart

No

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

Authorized official

Name

Maryjane O Luhumbu, NPNPI 1659797983

Title

President/ Owner

Phone

(520) 350-0123

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maryjane Luhumbu, WHCNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Chandler, AZ
  • NPI 1659797983
  NPD Authorized official

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1639866957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1374 E 10TH PL",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851223676",
            "telephone_number": "520-350-0123",
            "fax_number": "520-650-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 E RACINE DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226786",
            "telephone_number": "520-553-9964",
            "fax_number": "520-650-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINY RESIDENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "LUHUMBU",
        "authorized_official_first_name": "MARYJANE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "520-350-0123",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Richard Therrien, COTA/L
• Kassondra Dawn Thomason, COTA/L
• April Yvonne Thompson, PHARM D
• Tuesday Thompson
• Suzanne M Tillman, DNP, APRN, NNP-BC
• Tricia Lupita Tipton, REGISTERED NURSE
• Tom Sowash OD & Associates P C
• Tom Sowash OD & Associates PC
• Tomar Pain Centers, PLLC
• Ton Casa Grande Health Center

• Registered Nurse in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.