MENLO HOUSE (NPI# 1063519155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063519155 |
| Entity Type | Organization |
| Organization Name | MENLO HOUSE |
| Practice Address |
1323 W Placita Plata Tucson AZ 85745-2722 |
| Practice Telephone | 5206288251 |
| Practice Fax Number | 5202076369 |
| Mailing Telephone | 5206288251 |
| Mailing Fax Number | 5202076369 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. ELIZABETH MARY FORD (ADMINISTRATOR) |
| Authorized Official Telephone | 5206288251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
BH2111 | AZ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | AHCCCS | 728967 | 01 |
| Street Address |
1323 W PLACITA PLATA |
| City | TUCSON |
| State | AZ |
| Zip Code | 85745-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629540679 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 839 W Congress, Tucson, AZ 85745 | 2018-12-31 |
| 1194230672 | Pascua Yaqui Tribe | Community/Behavioral Health | 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 | 2017-12-06 |
| 1891207106 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1100 W. Fresno Street, Tucson, AZ 85745 | 2017-10-26 |
| 1497270664 | Skin Concierge, LLC. | Dermatology | 1310 W. St. Mary's Road, 2nd Floor, Suite A, Tucson, AZ 85745 | 2017-08-09 |
| 1801334941 | Katie Flores | Physical Therapist | 1604 W St Mary's Rd, Tucson, AZ 85745 | 2017-02-09 |
| 1558717348 | Jeongfill Yun | Student in an Organized Health Care Education/Training Program | 8290 W Congress St., Tucson, AZ 85745 | 2016-05-11 |
| 1417317082 | Nebsource LLC | Durable Medical Equipment & Medical Supplies | 4890 W Camino De La Amapola, Tucson, AZ 85745 | 2016-02-25 |
| 1548661358 | Melinda Godoy | Pharmacist | 879 W Congress, Tucson, AZ 85745 | 2014-09-11 |
| 1811333925 | Asdb | Clinic/Center | 1200 West Speedway, Tucson, AZ 85745 | 2013-05-15 |
| 1669722385 | David L. Lewis | Counselor | 1779 W. St. Mary's Rd, Tucson, AZ 85745 | 2012-09-11 |
| Find all providers in zip 85745 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518408079 | Sunshine Tucson Ach, LLC | Custodial Care Facility | 5674 E 25th St, Tucson, AZ 85711-5914 | 2017-03-16 |
| 1932651601 | Elsa's Adult Care Home II | Custodial Care Facility | 6313 E Calle De San Alberto, Tucson, AZ 85710-2113 | 2016-10-28 |
| 1578014437 | Elsa's Adult Care Home, LLC | Custodial Care Facility | 6301 E Calle De San Alberto, Tucson, AZ 85710-2113 | 2016-10-17 |
| 1528359544 | Desert Haven Adult Care Home LLC | Custodial Care Facility | 9681 E Briana Ln, Tucson, AZ 85748-7405 | 2011-04-25 |
| 1538469143 | House of Prayer | Custodial Care Facility | 919 E 30th St, Tucson, AZ 85713-3605 | 2010-10-28 |
| 1255507984 | Sidney Ronald Thomas IIi | Custodial Care Facility | 917 N Catalina Ave, Tucson, AZ 85711-1130 | 2008-05-02 |
| 1093220162 | Carmen's Home | Custodial Care Facility | 7466 E 18th St, Tucson, AZ 85710-4907 | 2017-12-11 |
| 1770904310 | Saguaro Ranch Luxury Assisted Living, LLC | Custodial Care Facility | 12301 N Camino Del Plata, Tucson, AZ 85755-2063 | 2013-12-29 |
| 1063626919 | Bes Care, Inc. | Custodial Care Facility | 720 W 41st St, Tucson, AZ 85713-5842 | 2007-05-10 |
| 1881808731 | Bes Care, Inc. | Custodial Care Facility | 720 W 41st St, Tucson, AZ 85713-5842 | 2007-05-10 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.