TUCSON MOUNTAIN SENIOR LIVING LLC NPI 1790657203

NPI Information

  • NPI: 1790657203
  • Provider Name: TUCSON MOUNTAIN SENIOR LIVING LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 1675 E RIVERSIDE DR STE 200
    EAGLE, ID
    ZIP 83616
  • Phone: (208) 207-2726

Map and Directions

Get Directions

NPI Details

TUCSON MOUNTAIN SENIOR LIVING LLC is an assisted living facility in Eagle, ID. The provider is 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. TUCSON MOUNTAIN SENIOR LIVING LLC NPI is 1790657203. The provider is registered as an organization entity type.

The provider's business location address is:

1675 E RIVERSIDE DR STE 200
EAGLE, ID
ZIP 83616-473
Phone: (208) 207-2726

The provider's authorized official is Amber Tueller .
The authorized official title is Secretary and has the following contact phone number (208) 207-2726.

The enumeration date for this NPI number is 9/23/2025 and was last updated on 9/23/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.