CIRCLE OF FRIENDS RAL, INC (NPI# 1508474594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508474594 |
| Entity Type | Organization |
| Organization Name | CIRCLE OF FRIENDS RAL, INC |
| Practice Address |
1615 N Norton Ave Tucson AZ 85719-4358 |
| Practice Telephone | 5202747575 |
| Practice Fax Number | 5208448426 |
| Mailing Telephone | 5202747575 |
| Mailing Fax Number | 5208448426 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |
| Authorized Official Name | JOEL T. KOLOSICK (PRESIDENT) |
| Authorized Official Telephone | 5205612763 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Circle of Friends RAL | Doing Business As Name - Organization |
| Street Address |
1615 N NORTON AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85719-4358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
| 1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
| 1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
| 1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
| Find all providers in zip 85719 | ||||
| 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 |
| 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.