Organization Active NPI

Casa de Los Ninos

  • Nursing Care Agency
  • Tucson, AZ
National Provider Identifier
1881896561
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
385189 Issued in AZ
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
385189OtherAZAHCCCS PROVIDER #

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.