Individual provider Active NPI

George Munyaga Nyamu

  • Contractor
  • Tucson, AZ
National Provider Identifier
1780352526
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
BH8372 Issued in AZ
Practice address
2828 W Goldfield Dr
Tucson, AZ 85745-3502
Phone
(206) 306-3632
NPI assigned
Sep 4, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X AL11941H AZ
Contractor 171W00000X BH8372 AZ Primary

Addresses

Primary practice location

2828 W Goldfield Dr
Tucson, AZ 85745-3502

Mailing address

PO Box 86537
Tucson, AZ 85754-6537
Phone (520) 721-1887

Other identifiers 1

IdentifierTypeStateIssuer
D42205954OtherAZDRIVERS LICENSE

Electronic endpoints 10

TypeEndpointUseAffiliation
Direct Messaging Address info@gehasadultfamilyhome.com
Direct Messaging Address info@gehasadultfamilyhome.com
Direct Messaging Address info@gehasadultfamilyhome.com
Direct Messaging Address info@gehasadultfamilyhome.com
Direct Messaging Address info@gehasadultfamilyhome.com
Direct Messaging Address info@gehasadultfamilyhome.com
Direct Messaging Address info@gehasadultfamilyhome.com
Direct Messaging Address info@gehasadultfamilyhome.com
Direct Messaging Address info@gehasadultfamilyhome.com
Direct Messaging Address info@gehasadultfamilyhome.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BH8372AZMDContractor
AL11941HAZMDAssisted Living Facility (Mental Illness)

NPI Registry JSON

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

{
    "created_epoch": "1630713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1780352526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86537",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857546537",
            "telephone_number": "520-721-1887",
            "fax_number": "520-372-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 W GOLDFIELD DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857453502",
            "telephone_number": "206-306-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYAMU",
        "first_name": "GEORGE",
        "middle_name": "MUNYAGA",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-04",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "AZ",
            "license": "AL11941H",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "AZ",
            "license": "BH8372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "D42205954",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@gehasadultfamilyhome.com",
            "affiliation": "N",
            "address_1": "2828 W Goldfield Dr",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857453502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@gehasadultfamilyhome.com",
            "affiliation": "N",
            "address_1": "2828 W Goldfield Dr",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857453502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@gehasadultfamilyhome.com",
            "affiliation": "N",
            "address_1": "2828 W Goldfield Dr",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857453502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@gehasadultfamilyhome.com",
            "affiliation": "N",
            "address_1": "2828 W Goldfield Dr",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857453502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@gehasadultfamilyhome.com",
            "affiliation": "N",
            "address_1": "2828 W Goldfield Dr",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857453502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@gehasadultfamilyhome.com",
            "affiliation": "N",
            "address_1": "2828 W Goldfield Dr",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857453502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@gehasadultfamilyhome.com",
            "affiliation": "N",
            "address_1": "2828 W Goldfield Dr",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857453502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@gehasadultfamilyhome.com",
            "affiliation": "N",
            "address_1": "2828 W Goldfield Dr",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857453502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@gehasadultfamilyhome.com",
            "affiliation": "N",
            "address_1": "2828 W Goldfield Dr",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857453502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@gehasadultfamilyhome.com",
            "affiliation": "N",
            "address_1": "2828 W Goldfield Dr",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857453502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 15, 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.