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MOMENTOUS ADULT FOSTER CARE NPI 1265036230


NPI Information

NPI: 1265036230
Provider Name: MOMENTOUS ADULT FOSTER CARE
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
6102 E TIMROD ST
TUCSON, AZ
ZIP 85711
Phone: (520) 222-2335
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MOMENTOUS ADULT FOSTER CARE is an adult care home custodial care facility in Tucson, AZ. The provider is 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. MOMENTOUS ADULT FOSTER CARE NPI is 1265036230. The provider is registered as an organization entity type.

The provider's business location address is:

6102 E TIMROD ST
TUCSON, AZ
ZIP 85711-664
Phone: (520) 222-2335

The provider's authorized official is Connie Marie Wilson .
The authorized official title is Owner and has the following contact phone number (520) 222-2335.

The enumeration date for this NPI number is 11/30/2020 and was last updated on 11/30/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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