AZI HOUSE ONE – NPI #1629305495
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

AZI HOUSE ONE is a residential treatment facility located in TUCSON, AZ. NPPES has assigned the NPI number 1629305495 to AZI HOUSE ONE on November 15, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AZI HOUSE ONE” is a dba name, the actual legal business name for this organization is AZI HOUSE LLC. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 6 years ago on Dec 27, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AZI HOUSE ONE below.

NPI Profile for
AZI HOUSE LLC

NPI Number
1629305495
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AZI HOUSE LLC
Doing Business As (dba): AZI HOUSE ONE
Primary location
6914 S BITTERCRESS RD
TUCSON, AZ 85756
Phone: (240) 643-0815 Fax:
Mailing address
5986 S JAKEMP TRL
TUCSON, AZ 85747-6003
Phone: (240) 643-0815 Fax:
Organization Subpart
No
Authorized Official
MICHAEL FUANGUNYI
STATUTORY AGENT
Phone: (240) 643-0815
Updated
Certification Date
Dec 27, 2019

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.