Organization Active NPI

Hope Springs Memory Care, LLC

  • Alzheimer Center (Dementia Center)
  • Tucson, AZ
National Provider Identifier
1871060004
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
HOPE SPRINGS MEMORY CARE, LLC
Practice address
4762 E Adams St
Tucson, AZ 85712-4002
Phone
(520) 392-8575
NPI assigned
Oct 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Authorized official

Name
Janice Kuhaneck
Title
Office Manager
Phone
(520) 392-8575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X Primary

Addresses

Primary practice location

4762 E Adams St
Tucson, AZ 85712-4002

Mailing address

5425 E Broadway Blvd Ste 353
Tucson, AZ 85711-3704
Phone (520) 392-8575

Other identifiers 1

IdentifierTypeStateIssuer
427356MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1871060004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 E BROADWAY BLVD STE 353",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113704",
            "telephone_number": "520-392-8575",
            "fax_number": "520-844-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4762 E ADAMS ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124002",
            "telephone_number": "520-392-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE SPRINGS MEMORY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "KUHANECK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "520-392-8575"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427356",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "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 Oct 25, 2018; 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.