Organization Active NPI

Elsa's Adult Care Home II

  • Adult Care Home Facility
  • Tucson, AZ
National Provider Identifier
1932651601
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
AL8572H Issued in AZ
Legal business name
ELSA'S ADULT CARE HOME II
Practice address
6313 E Calle de San Alberto
Tucson, AZ 85710-2113
Phone
(520) 886-8283
NPI assigned
Oct 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Mrs. Elsa Iyoyo Gatchalian
Title
Owner/Manager
Phone
(520) 886-8283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X AL8572H AZ Primary

Addresses

Primary practice location

6313 E Calle de San Alberto
Tucson, AZ 85710-2113

Mailing address

6301 E Calle de San Alberto
Tucson, AZ 85710-2113
Phone (520) 886-8283

Other identifiers 1

IdentifierTypeStateIssuer
664115OtherAZAHCCCS

National Provider Directory

National Provider Directory
Tax ID family
Elsa's Adult Care Home II2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1932651601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 E CALLE DE SAN ALBERTO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102113",
            "telephone_number": "520-886-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6313 E CALLE DE SAN ALBERTO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102113",
            "telephone_number": "520-886-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSA'S ADULT CARE HOME II",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "GATCHALIAN",
        "authorized_official_first_name": "ELSA",
        "authorized_official_middle_name": "IYOYO",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "520-886-8283",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AZ",
            "license": "AL8572H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "664115",
            "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 Oct 28, 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.