Organization Active NPI

Juniper Home

  • Mental Illness Intermediate Care Facility
  • Tucson, AZ
National Provider Identifier
1902250616
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
License
BH4888 Issued in AZ
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

Updated by the provider on Apr 19, 2016

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.