Organization Active NPI

Saguaro Ranch Luxury Assisted Living, LLC

  • Adult Care Home Facility
  • Tucson, AZ
National Provider Identifier
1770904310
Registry record updated Dec 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
AL9180H Issued in AZ
Legal business name
SAGUARO RANCH LUXURY ASSISTED LIVING, LLC
Practice address
12301 N Camino del Plata
Tucson, AZ 85755-2063
Phone
(520) 505-5661
Fax
(520) 505-5661
NPI assigned
Dec 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2013

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

Authorized official

Name
Christiaan Davidson, RN
Title
Manager
Phone
(520) 490-4222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X AL9180H AZ Primary

Addresses

Primary practice location

12301 N Camino del Plata
Tucson, AZ 85755-2063

Mailing address

12301 N Camino del Plata
Tucson, AZ 85755-2063
Phone (520) 505-5661

Other names 1

  • Saguaro Ranch Assisted Luxury Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1388275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388275200000",
    "number": "1770904310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 N CAMINO DEL PLATA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857552063",
            "telephone_number": "520-505-5661",
            "fax_number": "520-505-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 N CAMINO DEL PLATA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857552063",
            "telephone_number": "520-505-5661",
            "fax_number": "520-505-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGUARO RANCH LUXURY ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-29",
        "last_updated": "2013-12-29",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "CHRISTIAAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "520-490-4222",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AZ",
            "license": "AL9180H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saguaro Ranch Assisted Luxury Living",
            "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 29, 2013; 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.