MYRNA DORAME (NPI# 1194337568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194337568 |
| Entity Type | Individual |
| Full Name | MYRNA DORAME |
| Credential | ALF OWNER |
| Practice Address |
1532 S Perlman Ave Tucson AZ 85710-8523 |
| Practice Telephone | 5203939389 |
| Practice Fax Number | 5207411465 |
| Mailing Telephone | 5203939389 |
| Mailing Fax Number | 5207411465 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL10039H | AZ | Nursing & Custodial Care Facilities |
| Street Address |
1532 S PERLMAN AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85710-8523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220691 | Elidia Beas Newbold | Technician | 9122 E. Calle Maria, Tuscon, AZ 85710 | 2019-08-15 |
| 1669934014 | Pain Institute of Southern Arizona (pisa), PC | Pain Medicine | 7140 E Rosewood Street, Suite 110, Tucson, AZ 85710 | 2019-04-04 |
| 1316438351 | Life Aligned Regenerative Medical Center LLC | General Practice | 7920 E Broadway Blvd, Suite 106, Tuscon, AZ 85710 | 2018-05-25 |
| 1497264253 | Beverly Capili | Nurse Practitioner | 6622 East Carondelet Drive, Tucson, AZ 85710 | 2017-09-25 |
| 1629590120 | Linsey Nicole Tomaro | Physician Assistant | 6303 E. Broadway Blvd., Suite 161, Tucson, AZ 85710 | 2017-07-17 |
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1346762713 | Friday Sika | Respite Care | 8251 E. Kenyon Dr., Tucson, AZ 85710 | 2017-07-07 |
| 1821536228 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6303 E. Broadway Blvd, 161, Tucson, AZ 85710 | 2017-02-06 |
| 1659727816 | Mwangaza Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 8421 E. Colette St, Tucson, AZ 85710 | 2016-05-06 |
| 1124494240 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 921 S Prudence Rd, Tucson, AZ 85710 | 2015-08-12 |
| Find all providers in zip 85710 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386243269 | Harmony House Tucson LLC | Assisted Living Facility | 12651 E Speedway Blvd, Tucson, AZ 85748-2060 | 2020-10-21 |
| 1992303374 | Azi House LLC | Assisted Living Facility | 1200 W Chapala Dr, Tucson, AZ 85704-4521 | 2020-10-16 |
| 1619584703 | Maria E Moreno | Assisted Living Facility | 10761 E Avenida Del Campo, Tucson, AZ 85748-7042 | 2020-09-23 |
| 1902419690 | Oscar F Hernandez | Assisted Living Facility | 7642 E 38th St, Tucson, AZ 85730-1127 | 2020-08-24 |
| 1669085387 | Heritage Oaks Assisted Living LLC | Assisted Living Facility | 6569 E Carondelet Dr, Tucson, AZ 85710-2156 | 2020-08-24 |
| 1508474594 | Circle of Friends Ral, Inc | Assisted Living Facility | 1615 N Norton Ave, Tucson, AZ 85719-4358 | 2020-07-16 |
| 1275157182 | Walker Wellness LLC | Assisted Living Facility | 2450 N Palo Dulce Dr, Tucson, AZ 85745-1080 | 2020-06-05 |
| 1356963086 | Bridgewater La Cholla Operations, LLC | Assisted Living Facility | 6505 N La Cholla Blvd, Tucson, AZ 85741-3143 | 2020-05-15 |
| 1447872981 | Azi House LLC | Assisted Living Facility | 6840 N Cassim Pl, Tucson, AZ 85704-1261 | 2020-05-07 |
| 1316505084 | Mountain Vista Senior Living, Inc. | Assisted Living Facility | 7900 N La Canada Dr, Tucson, AZ 85704-2073 | 2019-05-29 |
| 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.