BRIDGEWATER LA CHOLLA OPERATIONS, LLC (NPI# 1356963086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356963086 |
| Entity Type | Organization |
| Organization Name | BRIDGEWATER LA CHOLLA OPERATIONS, LLC |
| Practice Address |
6505 N La Cholla Blvd Tucson AZ 85741-3143 |
| Mailing Address |
14650 N 78th Way Ste B Scottsdale AZ 85260-2970 |
| Practice Telephone | 5207423554 |
| Practice Fax Number | 5207423094 |
| Mailing Telephone | 6025443195 |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |
| Authorized Official Name | MRS. HEIDI ROYTER (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 6025443195 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES | AL11318C | 01 |
| Street Address |
6505 N LA CHOLLA BLVD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85741-3143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790237 | Taylor Seery Schwab | Occupational Therapist | Marana Unified School District, 7651 North Oldfather Dr, Tucson, AZ 85741 | 2020-11-03 |
| 1366095374 | Rita Jean Weatherholt | Counselor | 7382 N Lacholla Blvd., Tucson, AZ 85741 | 2019-07-18 |
| 1225690076 | Center for Pain Management LLC | Clinic/Center | 6060 N Fountain Drive, Tucson, AZ 85741 | 2019-07-02 |
| 1124506019 | Emily Jensen | Speech-Language Pathologist | Thornydale Elementary School, 7651 N Oldfather Rd, Tucson, AZ 85741 | 2018-08-01 |
| 1366954703 | Solterra La Cholla Operations, Lp | Assisted Living Facility | 6505 North La Cholla Blvd, Tucson, AZ 85741 | 2017-10-25 |
| 1932636123 | Tucson Digestive Institute LLC | Clinic/Center | 7566 N La Cholla Blvd Ste B, Tucson, AZ 85741 | 2017-05-18 |
| 1336591437 | Eugene Choi | Dentist | 7578 N. La Cholla Blvd, Tucson, AZ 85741 | 2016-07-13 |
| 1841672763 | Gang Li | Dentist | 2242 W Distant Song St., Tucson, AZ 85741 | 2015-06-27 |
| 1467870378 | Lisa Tucci | Nurse Practitioner | 7105 N. Lacholla Blvd., Tucson, AZ 85741 | 2014-03-29 |
| 1457639197 | Vanessa Moore | Speech-Language Pathologist | 3400 West Massingale Road, Tucson, AZ 85741 | 2011-07-29 |
| Find all providers in zip 85741 | ||||
| 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 |
| 1194337568 | Myrna Dorame | Assisted Living Facility | 1532 S Perlman Ave, Tucson, AZ 85710-8523 | 2020-08-18 |
| 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 |
| 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.