Active NPI
Azi House
Doing business as Northwest Assisted Living Homes
- Assisted Living Facility
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- AZI HOUSE
- Doing business as
- Northwest Assisted Living Homes
- Practice address
- 2001 W Cassim LN
Tucson, AZ 85704-1217 - Phone
- (240) 643-0815
- Fax
- (520) 396-4658
- NPI assigned
- May 11, 2015
- Last updated
- Jun 19, 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
- Michael Fuangunyi
- Title
- C.E.O Azi House LLC
- Phone
- (240) 643-0815
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary |
Addresses
Primary practice location
2001 W Cassim LN
Tucson, AZ 85704-1217
Mailing address
5986 S Jakemp TRL
Tucson, AZ 85747-6003
Phone (240) 643-0815
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AL11549H | Other | AZ | ARIZONA STATE LICENSE |
Other names 1
- Northwest Assisted Living Homes
National Provider Directory
National Provider Directory- Tax ID family
- Azi House LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Tucson, AZ
- NPI 1447872981
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Tucson, AZ
- NPI 1568049781
-
dba Azi House one
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Tucson, AZ
- NPI 1629305495
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Tucson, AZ
- NPI 1518240050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592524800000",
"number": "1952789034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5986 S JAKEMP TRL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857476003",
"telephone_number": "240-643-0815",
"fax_number": "520-844-6342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W CASSIM LN",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857041217",
"telephone_number": "240-643-0815",
"fax_number": "520-396-4658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AZI HOUSE",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-11",
"last_updated": "2020-06-19",
"certification_date": "2020-06-19",
"status": "A",
"authorized_official_last_name": "FUANGUNYI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "C.E.O AZI HOUSE LLC",
"authorized_official_telephone_number": "240-643-0815"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA STATE LICENSE",
"identifier": "AL11549H",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Northwest Assisted Living Homes",
"code": "3",
"type": "Doing Business As"
}
]
}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 Jun 19, 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.