Active NPI
Juniper Home
- Mental Illness Intermediate Care Facility
- Tucson, AZ
National Provider Identifier
1902250616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Intermediate Care Facility
- License
- BH4888
- Legal business name
- JUNIPER HOME
- Practice address
- 10221 E Juniper Basin LN
Tucson, AZ 85748-6767 - Phone
- (520) 254-2296
- Fax
- (520) 344-8892
- NPI assigned
- Apr 19, 2016
- 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
- Tonia Smith
- Title
- Administrator
- Phone
- (520) 254-2296
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Intermediate Care Facility | 310500000X | BH4888 | AZ | Primary |
Addresses
Primary practice location
10221 E Juniper Basin LN
Tucson, AZ 85748-6767
Mailing address
994 S Harrison Rd
Tucson, AZ 85748-6608
Phone (520) 721-1887
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461024000000",
"number": "1902250616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "994 S HARRISON RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857486608",
"telephone_number": "520-721-1887",
"fax_number": "520-344-8892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10221 E JUNIPER BASIN LN",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857486767",
"telephone_number": "520-254-2296",
"fax_number": "520-344-8892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUNIPER HOME",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-19",
"last_updated": "2016-04-19",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "TONIA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "520-254-2296"
},
"taxonomies": [
{
"code": "310500000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Mental Illness",
"state": "AZ",
"license": "BH4888",
"primary": true
}
],
"identifiers": [],
"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 Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.