DESERT HAVEN ADULT CARE HOME LLC (NPI# 1528359544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528359544 |
| Entity Type | Organization |
| Organization Name | DESERT HAVEN ADULT CARE HOME LLC |
| Practice Address |
9681 E Briana Ln Tucson AZ 85748-7405 |
| Mailing Address |
8925 E 5th St Tucson AZ 85710-3041 |
| Practice Telephone | 5203066931 |
| Practice Fax Number | 5208854976 |
| Mailing Telephone | 5203066931 |
| Mailing Fax Number | 5208854976 |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |
| Authorized Official Name | MRS. HOLLY CATHERINE REINARD (OWNER/MANAGER) |
| Authorized Official Telephone | 5203066931 |
| Authorized Official Credential | LICENSED MANAGER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
AL8238H | AZ | Nursing & Custodial Care Facilities |
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
AL8124H | AZ | Nursing & Custodial Care Facilities |
| Street Address |
9681 E BRIANA LN |
| City | TUCSON |
| State | AZ |
| Zip Code | 85748-7405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750892246 | Intermountain Health Center, Inc. | Community/Behavioral Health | 994 S. Harrison Road, Tucson, AZ 85748 | 2017-10-24 |
| 1083125587 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1020 South Harrison Road, Tucson, AZ 85748 | 2017-10-24 |
| 1730699679 | Southern Arizona Urgent Care, LLC | Clinic/Center | 1040 S. Harrison Rd, Ste. 120, Tucson, AZ 85748 | 2017-10-05 |
| 1730609652 | Kathleen R Hizer | Social Worker | 2051 S Calle Mesa Del Oso, Tucson, AZ 85748 | 2017-06-21 |
| 1629453170 | Augustin Igulu Lukwango | Contractor | 994 S Harrison Road, Tucson, AZ 85748 | 2015-07-27 |
| 1588051353 | Cheol M. Choi | Dentist | 9565 E 22nd St Ste 143, Tucson, AZ 85748 | 2015-04-20 |
| 1295168722 | Sandra Lee Chmiel | Veterinarian | 9855 E Speedway Blvd, Unit 12103, Tucson, AZ 85748 | 2013-08-20 |
| 1134420649 | Leslie Cicalese | Pharmacist | 1145 South Harrison Rd, Tucson, AZ 85748 | 2010-11-15 |
| 1760711923 | Enrique Romero | Specialist/Technologist, Other | 10339 E Cowhead Saddle Ln, Tucson, AZ 85748 | 2009-12-17 |
| 1437348349 | Audrey Wolfel | Nurse Practitioner | 10315 Broadway Boulevard, Tucson, AZ 85748 | 2007-10-16 |
| Find all providers in zip 85748 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518408079 | Sunshine Tucson Ach, LLC | Custodial Care Facility | 5674 E 25th St, Tucson, AZ 85711-5914 | 2017-03-16 |
| 1932651601 | Elsa's Adult Care Home II | Custodial Care Facility | 6313 E Calle De San Alberto, Tucson, AZ 85710-2113 | 2016-10-28 |
| 1578014437 | Elsa's Adult Care Home, LLC | Custodial Care Facility | 6301 E Calle De San Alberto, Tucson, AZ 85710-2113 | 2016-10-17 |
| 1538469143 | House of Prayer | Custodial Care Facility | 919 E 30th St, Tucson, AZ 85713-3605 | 2010-10-28 |
| 1255507984 | Sidney Ronald Thomas IIi | Custodial Care Facility | 917 N Catalina Ave, Tucson, AZ 85711-1130 | 2008-05-02 |
| 1063519155 | Menlo House | Custodial Care Facility | 1323 W Placita Plata, Tucson, AZ 85745-2722 | 2006-09-20 |
| 1093220162 | Carmen's Home | Custodial Care Facility | 7466 E 18th St, Tucson, AZ 85710-4907 | 2017-12-11 |
| 1770904310 | Saguaro Ranch Luxury Assisted Living, LLC | Custodial Care Facility | 12301 N Camino Del Plata, Tucson, AZ 85755-2063 | 2013-12-29 |
| 1063626919 | Bes Care, Inc. | Custodial Care Facility | 720 W 41st St, Tucson, AZ 85713-5842 | 2007-05-10 |
| 1881808731 | Bes Care, Inc. | Custodial Care Facility | 720 W 41st St, Tucson, AZ 85713-5842 | 2007-05-10 |
| 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.