Desert Home Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10037H Issued in AZ

Legal business name

DESERT HOME ASSISTED LIVING, LLC

Practice address

5940 E 5TH St
Tucson, AZ 85711-2502

Phone

(520) 777-4989

Fax

(520) 445-6443

NPI assigned

Oct 13, 2016

Organization subpart

No

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

Authorized official

Name

Doug Nixon

Title

Member

Phone

(520) 777-4989

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1821548850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 E 5TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112502",
            "telephone_number": "520-777-4989",
            "fax_number": "520-445-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 E 5TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112502",
            "telephone_number": "520-777-4989",
            "fax_number": "520-445-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT HOME ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "520-777-4989"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL10037H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172335",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desert Eye Optical LLC
• Desert Gems Assisted Living LLC (Emerald Manor)
• Desert Harmony Hospice of Tucson (Harmony Community Healthcare)
• Desert Haven Adult Care Home LLC
• Desert Heart Surgery Specialists, PLLC
• Desert Hope Psychotherapy and Consultation Services, LLC
• Desert Life Pharmacy LLC
• Desert Life Pharmacy LLC
• Desert Life Pharmacy LLC
• Desert Life Psychotherapy

• Assisted Living Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.