Organization Active NPI

Phoenix Home Health - Tucson, Inc

  • Home Health Agency
  • Tucson, AZ
National Provider Identifier
1770718165
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA4345 Issued in AZ
Legal business name
PHOENIX HOME HEALTH - TUCSON, INC
Practice address
5055 E. Broadway Blvd.,
Suite C-205
Tucson, AZ 85711
Phone
(520) 207-7118
Fax
(520) 207-7120
NPI assigned
May 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Authorized official

Name
Joaquin Diaz
Title
President/Ceo
Phone
(602) 789-8282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA4345 AZ Primary

Addresses

Primary practice location

5055 E. Broadway Blvd.,
Suite C-205
Tucson, AZ 85711

Mailing address

5055 E. Broadway Blvd.,
Suite C-205
Tucson, AZ 85711
Phone (520) 207-7118

Other names 1

  • Phoenix Home Health - Tucson Doing business as

National Provider Directory

National Provider Directory

Locations

10410 N 31st Ave
Ste 412
Phoenix, AZ 85051
Phone (602) 789-8282

5055 E Broadway Blvd
Ste C205
Tucson, AZ 85711
Phone (520) 207-7118

622 N Country Club Rd
Ste D
Tucson, AZ 85716
Phone (520) 207-7118

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1770718165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 E. BROADWAY BLVD.,",
            "address_2": "SUITE C-205",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85711",
            "telephone_number": "520-207-7118",
            "fax_number": "520-207-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 E. BROADWAY BLVD.,",
            "address_2": "SUITE C-205",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85711",
            "telephone_number": "520-207-7118",
            "fax_number": "520-207-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOME HEALTH - TUCSON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JOAQUIN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "602-789-8282"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA4345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Home Health - Tucson",
            "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 Apr 21, 2014; 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.