COUNTRYSIDE CAPITAL ESTATES LLC NPI 1861396707

NPI Information

  • NPI: 1861396707
  • Provider Name: COUNTRYSIDE CAPITAL ESTATES LLC
  • Classification: Home Health Aide - 374U00000X
  • Entity Type: Organization
  • :
  • Address: 3540 E GOLF LINKS RD
    TUCSON, AZ
    ZIP 85713
  • Phone: (520) 822-4208

Map and Directions

Get Directions

NPI Details

COUNTRYSIDE CAPITAL ESTATES LLC is a home health aide in Tucson, AZ. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. COUNTRYSIDE CAPITAL ESTATES LLC NPI is 1861396707. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

3540 E GOLF LINKS RD
TUCSON, AZ
ZIP 85713-317
Phone: (520) 822-4208

The provider's authorized official is Derick Kambobe .
The authorized official title is Manager and has the following contact phone number (224) 223-3089.

The enumeration date for this NPI number is 10/5/2026 and was last updated on 10/5/2026.

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
1374U00000XHome Health AideYes
2376J00000XHomemakerNo

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.