Organization Active NPI

Bansa Enterprises Inc

  • Assisted Living Facility (Behavioral Disturbances)
  • Tucson, AZ
National Provider Identifier
1821671223
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
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

Updated by the provider on May 3, 2021

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Mail Direct

National Provider Directory

National Provider Directory
Tax ID family
Bansa Enterprises Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.