Active NPI
Casa de Los Ninos
- Nursing Care Agency
- Tucson, AZ
National Provider Identifier
1881896561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 385189
- Legal business name
- CASA DE LOS NINOS
- Practice address
- 1138 N. 5TH Ave.
Tucson, AZ 85705 - Phone
- (520) 624-5600
- Fax
- (520) 792-0009
- NPI assigned
- Jun 4, 2007
- Last updated
- Aug 22, 2020
- 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
- Ms. Rosie Dyer, RN BSN
- Title
- Supervisor of Medical Services
- Phone
- (520) 624-5600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 385189 | AZ | Primary |
Addresses
Primary practice location
1138 N. 5TH Ave.
Tucson, AZ 85705
Mailing address
1101 N 4TH Ave
Tucson, AZ 85705-7467
Phone (520) 624-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 385189 | Other | AZ | AHCCCS PROVIDER # |
National Provider Directory
National Provider DirectoryLocations
1138 N 5th Ave
Tucson, AZ 85705
Phone (520) 624-5600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1881896561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 N 4TH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857057467",
"telephone_number": "520-624-5600",
"fax_number": "520-792-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1138 N. 5TH AVE.",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85705",
"telephone_number": "520-624-5600",
"fax_number": "520-792-0009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASA DE LOS NINOS",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DYER",
"authorized_official_first_name": "ROSIE",
"authorized_official_title_or_position": "SUPERVISOR OF MEDICAL SERVICES",
"authorized_official_telephone_number": "520-624-5600",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN BSN"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "AZ",
"license": "385189",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS PROVIDER #",
"identifier": "385189",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.