GRACE VILLA OLAGUE (NPI# 1104096486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104096486 |
| Entity Type | Individual |
| Full Name | GRACE VILLA OLAGUE |
| Practice Address |
3642 N Tres Lomas Dr Tucson AZ 85749-9415 |
| Practice Telephone | 5208188495 |
| Mailing Telephone | 5208188495 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | 639516 | AZ | Respite Care Facility |
| Street Address |
3642 N TRES LOMAS DR |
| City | TUCSON |
| State | AZ |
| Zip Code | 85749-9415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194197400 | Kristin Palmer | Specialist | 9006 E Eagle Place, Tucson, AZ 85749 | 2015-10-26 |
| 1417349028 | Intermountain Centers for Human Develoment Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8851 East Tanque Verde, Tucson, AZ 85749 | 2015-02-19 |
| 1659776557 | Mahmoud Moghaddami | Nurse Practitioner | 1075 E Ft Lowell, Tucson, AZ 85749 | 2014-11-04 |
| 1255632295 | John Leroy Kallmeyer, M.d. | Obstetrics & Gynecology | 11122 E. Rusty Spur Pl., Tucson, AZ 85749 | 2010-11-08 |
| 1861708547 | Nancy H Mcgibbon | Physical Therapist | 8920 E. Woodland Rd, Tucson, AZ 85749 | 2010-08-19 |
| 1366773103 | Lee J Weisbard | Pharmacist | 9115 E Tanque Verde Road, Tucson, AZ 85749 | 2010-01-19 |
| 1568612869 | Southwest Surgical Services | Specialist/Technologist, Other | 12125 E. Quesada Place, Tucson, AZ 85749 | 2008-09-23 |
| 1841456589 | David Dietz | Counselor | 1795 W. Drexel, Tucson, AZ 85749 | 2008-08-01 |
| 1124203682 | Marilou Errazo-searles | Registered Nurse | 11109 E Tanque Verde Rd, Tucson, AZ 85749 | 2008-01-03 |
| 1427142074 | Rgl Development, LLC | Assisted Living Facility | 9050 E Tanque Verde Road, Tucson, AZ 85749 | 2006-10-03 |
| Find all providers in zip 85749 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493663 | Gina Hage | Respite Care | 441 S Vozack Ln, Tucson, AZ 85748-4505 | 2020-10-05 |
| 1780281535 | Rhonda Dodds | Respite Care | 2081 S Hidden Pasture Ln, Tucson, AZ 85748-7409 | 2020-10-05 |
| 1477162469 | Sarah Shellhouse | Respite Care | 4035 E Stony Meadow Dr, Tucson, AZ 85756-3076 | 2020-07-27 |
| 1700404589 | Prince Abbrey | Respite Care | 6506 E Brushback Loop, Tucson, AZ 85756-8437 | 2020-07-08 |
| 1548887730 | Tina Messan | Respite Care | 8325 E Pena Blanca Dr, Tucson, AZ 85730-1213 | 2020-07-03 |
| 1124640321 | Guadalupe Borbon | Respite Care | 5986 S Herpa Dr, Tucson, AZ 85706-4927 | 2020-05-11 |
| 1265067102 | Reza Vafaie | Respite Care | 1070 W Sea Lion Dr, Tucson, AZ 85704-2542 | 2020-03-11 |
| 1669019725 | Thelma Lucero | Respite Care | 1386 E Mossman Rd, Tucson, AZ 85706-5625 | 2019-12-06 |
| 1285271403 | Wendy Wilson | Respite Care | 9800 E Golden Currant Dr, Tucson, AZ 85748-7897 | 2019-12-06 |
| 1740826320 | Tamboura Davis | Respite Care | 3170 S Three D Ct, Tucson, AZ 85713-6360 | 2019-11-19 |
| Find all providers in TUCSON | ||||
Please comment or provide details below to improve the information on GRACE VILLA OLAGUE.
| 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.