CSL-Tucson, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10023C Issued in AZ

Legal business name

CSL-TUCSON, LLC

Practice address

1020 N. Woodland Avenue
Tucson, AZ 85711

Phone

(520) 777-3198

NPI assigned

Apr 22, 2016

Organization subpart

Yes

Parent organization

COMPASS SENIOR LIVING LLCAs reported in NPPES

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

Authorized official

Name

Candis Willis

Title

Regional Director of Operations

Phone

(530) 605-8841

Specialties & licenses 1

Addresses

Other names 1

• Woodland Palms Assisted Living and Memory Care Doing business as

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1962856260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 VALLEY RIVER DR",
            "address_2": "260",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012116",
            "telephone_number": "541-636-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N. WOODLAND AVENUE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85711",
            "telephone_number": "520-777-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSL-TUCSON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPASS SENIOR LIVING LLC",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "CANDIS",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "530-605-8841"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL10023C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Palms Assisted Living and Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose Luis Cruz
• Kelly L Cruz, CAREGIVER
• Kevin Luis Cruz
• Maria Concepcion Cruz
• Matilda Cruz, CNA
• Efrain Israel Cubillo IV, MD
• Firishta Gheyasi Cubillo, M.ED., BCBA, LBA
• Devvin L Cubra, PA-C
• Trevor Clancy Cubra, DDS
• Christa Ann Cuellar, FNP-C

• Assisted Living Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.