Organization Active NPI

Dolores Home LLC

  • Adult Care Home Facility
  • Tucson, AZ
National Provider Identifier
1881266328
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
DOLORES HOME LLC
Practice address
9221 E Dolores St
Tucson, AZ 85730-2132
Phone
(520) 401-5753
NPI assigned
Jul 14, 2021
Last updated
Jul 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Mr. Marcus Hinojoa
Title
Owner/Manager
Phone
(520) 401-5753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

9221 E Dolores St
Tucson, AZ 85730-2132

Mailing address

1645 W Valencia Rd Ste 109-434
Tucson, AZ 85746-6040
Phone (520) 401-5753

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL doloreshome9221@gmail.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1881266328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 W VALENCIA RD STE 109-434",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466040",
            "telephone_number": "520-401-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9221 E DOLORES ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857302132",
            "telephone_number": "520-401-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLORES HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "HINOJOA",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "520-401-5753",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "doloreshome9221@gmail.com",
            "affiliation": "N",
            "address_1": "9221 E Dolores St",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857302132",
            "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 Jul 14, 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.