Organization Active NPI

Dreamcatcher Senior Living LLC

  • Lodging Provider
  • Tucson, AZ
National Provider Identifier
1689219651
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
Legal business name
DREAMCATCHER SENIOR LIVING LLC
Practice address
9674 E 3Rd St
Tucson, AZ 85748-2706
Phone
(520) 414-4610
Fax
(520) 317-7048
NPI assigned
Nov 13, 2019
Last updated
Nov 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Authorized official

Name
Mrs. Sheila Myrran Jackson-Sears
Title
President
Phone
(520) 709-5257

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Adult Care Home Facility 311ZA0620X
Private Vehicle 347C00000X
Lodging Provider 177F00000X Primary
Meals Provider 174200000X

Addresses

Primary practice location

9674 E 3Rd St
Tucson, AZ 85748-2706

Mailing address

9674 E 3Rd St
Tucson, AZ 85748-2706
Phone (520) 414-4610

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1689219651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9674 E 3RD ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857482706",
            "telephone_number": "520-414-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9674 E 3RD ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857482706",
            "telephone_number": "520-414-4610",
            "fax_number": "520-317-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAMCATCHER SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "JACKSON-SEARS",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "MYRRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-709-5257",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 13, 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.