DEVEREUX ARIZONA (NPI# 1437524972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437524972 |
| Entity Type | Organization |
| Organization Name | DEVEREUX ARIZONA |
| Other Organization Name | DEVEREUX FOUNDATION |
| Practice Address |
6141 E Grant Rd Tucson AZ 85712-5829 |
| Practice Telephone | 5205765598 |
| Practice Fax Number | 5202968244 |
| Mailing Telephone | 5205765598 |
| Mailing Fax Number | 5202968244 |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |
| Authorized Official Name | PAULA LEGGE (ADMINISTRATIVE COORDINATOR) |
| Authorized Official Telephone | 5205765598 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | BH-721 | AZ | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 729634 | 05 |
| Other Name | Type Code |
|---|---|
| Devereux Foundation | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255983037 | Devereux Arizona | Community Based Residential Treatment Facility, Mental Illness | 2000 E Spring St, Tucson, AZ 85719-3428 | 2019-07-12 |
| Street Address |
6141 E GRANT RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-5829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003913385 | The Devereux Foundation | Clinic/Center | 6141 E Grant Rd, Tucson, AZ 85712-5829 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| 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 DEVEREUX ARIZONA.
| 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.