SNH AZ TENANT LLC (NPI# 1639726896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639726896 |
| Entity Type | Organization |
| Organization Name | SNH AZ TENANT LLC |
| Other Organization Name | THE FORUM AT TUCSON |
| Practice Address |
2500 N Rosemont Blvd Tucson AZ 85712-2167 |
| Mailing Address |
255 Washington St Ste 300 Newton MA 02458-1634 |
| Practice Telephone | 5203254800 |
| Practice Fax Number | 5203252872 |
| Mailing Telephone | 6177968350 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2020-04-30 |
| Authorized Official Name | JENNIFER F. MINTZER (PRESIDENT & CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6177968350 |
| Is Organization Subpart | Y |
| Parent Organization Name | SNH AZ TENANT LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Forum at Tucson | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821645268 | Snh Az Tenant LLC | Assisted Living Facility | 13840 N Desert Harbor Dr, Peoria, AZ 85381-3501 | 2019-08-21 |
| 1801442637 | Snh Az Tenant LLC | Assisted Living Facility | 7100 E Mescal St, Scottsdale, AZ 85254-6126 | 2019-08-16 |
| Street Address |
2500 N ROSEMONT BLVD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-2167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457304404 | Five Star Tucson Forum LLC | Skilled Nursing Facility | 2500 N Rosemont Blvd, Tucson, AZ 85712-2167 | 2006-05-19 |
| 1023020039 | Gail Abbey | Occupational Therapist | 2500 N Rosemont Blvd, Tucson, AZ 85712-2167 | 2006-08-12 |
| 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 | 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 |
| 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 |
| 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.