Active NPI
Bansa Enterprises Inc
- Assisted Living Facility (Behavioral Disturbances)
- Tucson, AZ
National Provider Identifier
1821671223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)
- Legal business name
- BANSA ENTERPRISES INC
- Practice address
- 617 S Desert Steppes Dr
Tucson, AZ 85710-5940 - Phone
- (520) 440-1412
- NPI assigned
- May 3, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Prudentia Taku
- Title
- Owner
- Phone
- (520) 440-1412
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | Primary |
Addresses
Primary practice location
617 S Desert Steppes Dr
Tucson, AZ 85710-5940
Mailing address
6788 S Sonoran Bloom Ave
Tucson, AZ 85756-3040
Phone (520) 440-1412
Other names 1
- Desert Steppes Adult Care
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Bansa Enterprises Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1497338891
-
- Home Health Agency
- Tucson, AZ
- NPI 1598367120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620000000000",
"number": "1821671223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6788 S SONORAN BLOOM AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857563040",
"telephone_number": "520-440-1412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 S DESERT STEPPES DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857105940",
"telephone_number": "520-440-1412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANSA ENTERPRISES INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-03",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A",
"authorized_official_last_name": "TAKU",
"authorized_official_first_name": "PRUDENTIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "520-440-1412"
},
"taxonomies": [
{
"code": "3104A0630X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Mail",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "617 S Desert Steppes Dr",
"city": "Tucson",
"state": "AZ",
"country_code": "US",
"postal_code": "857105940",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Desert Steppes Adult Care",
"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 May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.