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AZI HOUSE NPI 1952789034


NPI Information

NPI: 1952789034
Provider Name: AZI HOUSE

Doing Business As: NORTHWEST ASSISTED LIVING HOMES

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 03D2128905

Address:
2001 W CASSIM LN
TUCSON, AZ
ZIP 85704
Phone: (240) 643-0815
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AZI HOUSE is an assisted living facility in Tucson, AZ. 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. AZI HOUSE NPI is 1952789034. The provider is registered as an organization entity type.
The provider Is Doing Business As Northwest Assisted Living Homes.

The provider's business location address is:

2001 W CASSIM LN
TUCSON, AZ
ZIP 85704-217
Phone: (240) 643-0815
Fax: (520) 396-4658

The provider's authorized official is Michael Fuangunyi .
The authorized official title is C.e.o Azi House Llc and has the following contact phone number (240) 643-0815.

The CLIA number assigned to this NPI record is 03D2128905 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2015 and was last updated on 6/19/2020.


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
1310400000XAssisted Living FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AL11549HOTHERARIZONAARIZONA STATE LICENSE

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: 4/28/2024

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