ALLEGIANT HEALTHCARE OF TUCSON LLC (NPI# 1235642042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235642042 |
| Entity Type | Organization |
| Organization Name | ALLEGIANT HEALTHCARE OF TUCSON LLC |
| Practice Address |
2900 E Milber St Tucson AZ 85714-2097 |
| Mailing Address |
3130 E Broadway Rd Mesa AZ 85204-1740 |
| Practice Telephone | 5202940005 |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |
| Authorized Official Name | JAKE WEINTRAUB (MANAGER) |
| Authorized Official Telephone | 7188127506 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
Nursing & Custodial Care Facilities |
| Street Address |
2900 E MILBER ST |
| City | TUCSON |
| State | AZ |
| Zip Code | 85714-2097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629525415 | Kayla Iwahashi | Physician Assistant | 2900 E Milber St, Tucson, AZ 85714 | 2016-09-08 |
| 1912400755 | Sapphire of Tucson Nursing and Rehab LLC | Skilled Nursing Facility | 2900 E Milber St, Tucson, AZ 85714-2097 | 2018-03-16 |
| 1598216772 | Xochitl Berenice Gonzalez | Physical Therapy Assistant | 2900 E Milber St, Tucson, AZ 85714-2097 | 2016-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093270035 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 101 W Irvington Rd Bldg # 10, Tucson, AZ 85714 | 2019-02-04 |
| 1558868422 | Southern Arizona Urgent Care, LLC | Clinic/Center | 1218 W. Irvington Rd., Ste. 150, Tucson, AZ 85714 | 2018-04-09 |
| 1356790158 | Banner Umc Dpec | Nutritionist | 3950 S Country Club Road, Suite 130, Tucson, AZ 85714 | 2016-06-13 |
| 1811305634 | Johannes Kieding | Social Worker | 3939 S Park Ave Ste 150, Tucson, AZ 85714 | 2014-07-24 |
| 1982962221 | Orthomed, LLC | Clinic/Center | 1010 E. Palmdale St, Suite 130, Tucson, AZ 85714 | 2012-04-24 |
| 1588952089 | Crisis Response Network of Southern Arizona, Inc. | Community/Behavioral Health | 2802 East District Street, Tucson, AZ 85714 | 2011-07-18 |
| 1780904805 | Ana E Araiza Rojas | Dietitian, Registered | 3939 S. Park Ave, Suite 150 Cmg Southwest, Tucson, AZ 85714 | 2010-06-11 |
| 1710117668 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1210 E Pennsylvania St, Tucson, AZ 85714 | 2009-07-24 |
| 1639319049 | Ronnie C William | Internal Medicine | 3950 South Country Club Road, Ste 200, Tucson, AZ 85714 | 2009-02-25 |
| 1518121789 | Yesenia Dicochea | Assisted Living Facility | 424 E President, Tucson, AZ 85714 | 2008-07-16 |
| Find all providers in zip 85714 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851526347 | Cartwright School District | Skilled Nursing Facility | 2730 N 79th Ave, Phoenix, AZ 85035-1226 | 2009-05-27 |
| 1821272832 | Meredith Hurt | Skilled Nursing Facility | 9424 W Hubbell St, Phoenix, AZ 85037-4421 | 2007-12-27 |
| 1245424225 | Stellar Healthcare, Inc. | Skilled Nursing Facility | 9362 E Sharon Dr, Scottsdale, AZ 85260-7426 | 2007-08-31 |
| 1922120229 | Roosevelt School District | Skilled Nursing Facility | 6825 S. 10th Street, Phx, AZ 85042 | 2007-04-06 |
| 1265466882 | Saurgical Assist Solutions | Skilled Nursing Facility | 1002 E Sorenson St, Mesa, AZ 85203-1122 | 2006-07-10 |
| 1619491123 | Allegiant Healthcare of Phoenix LLC | Skilled Nursing Facility | 1880 E Van Buren St, Phoenix, AZ 85006-3742 | 2017-07-27 |
| 1831463686 | Delta-t Nursing | Skilled Nursing Facility | 7500 N Dreamy Draw Dr, Suite 205, Phoenix, AZ 85020-4660 | 2012-02-25 |
| 1184929747 | Laveen School District #59 | Skilled Nursing Facility | 9401 S 51st Ave, Laveen, AZ 85339-2710 | 2011-01-12 |
| 1831322676 | Hacienda Skilled Nursing Facility | Skilled Nursing Facility | 1402 E South Mountain Ave, Phoenix, AZ 85042-7925 | 2009-08-27 |
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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.