Ana Aguayo
Individual provider Active NPI Assisted Living Facility · Yuma, AZ
NPI 1669186128 · NPPES record last updated Jan 10, 2023
Key facts
- NPI
- 1669186128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- AL11946H (AZ)
- Practice address
- 2498 S 43Rd Dr
Yuma, AZ 85364-9271 - Phone
- (760) 554-2047
- NPI assigned
- Jan 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL11946H | AZ | MD | Assisted Living Facility |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL11946H | AZ | Yes |
Addresses
Primary practice location
2498 S 43Rd Dr
Yuma, AZ 85364-9271
Mailing address
2498 S 43Rd Dr
Yuma, AZ 85364-9271
Phone (760) 554-2047
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164599 | Medicaid | AZ |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | direct | Direct |
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All providers in Yuma, AZ · Assisted Living Facility in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.