Fanaka Enterprises Llc, NPI 1912511999
Assisted Living Facility (Behavioral Disturbances) in Tucson, AZ, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1912511999
NPI Entity Type Organization
Provider Name Fanaka Enterprises Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 3925 E 1st St, Tucson, AZ, US
Provider Mailing Address 3925 E 1st St, Tucson, AZ, US, 857111001
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Cate Kibera
Official Position OWNER
Phone 520-301-9021

Primary Taxonomy

Taxonomy Code

3104A0630X

Taxonomy Name Assisted Living Facility (Behavioral Disturbances)
Classification

Assisted Living Facility

Group

Nursing & Custodial Care Facilities

Description A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

Other Organization Name

La Paz Assisted Living III
Doing Business As

Business Address

Fanaka Enterprises Llc
3925 E 1st St

Tucson, AZ, US

Phone: 520-771-9971
Fax: 520-771-9971

Mailing Address

Fanaka Enterprises Llc
3925 E 1st St
Tucson, AZ, US
ZIP 857111001
Phone: 520-771-9971
Fax: 520-771-9971

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] E Mail DIRECT No 1436 W Liddell Dr, Tucson, AZ, US
DIRECT [email protected] E Mail DIRECT No 3925 E 1st St, Tucson, AZ, US

Other Providers in AZ, US

NPI Name Taxonomy Address

1659836476

Kerri Hohn

Individual

Behavior Technician

2222 S Dobson Rd Bldg 9

Mesa, AZ

1194108852

M.A., N.C.C., L.P.C Robert Dale Labrum

Individual

Mental Health Counselor

1845 S Dobson Rd Ste 101

Mesa, AZ

1598703217

DR. M.D. Vincent Paul Goux

Individual

Family Medicine Physician

3320 N 3rd Ave

Phoenix, AZ

1144730607

Atlas Medical Systems, Pllc

Organization

Family Medicine Physician

3320 N 3rd Ave

Phoenix, AZ

1548982523

Tiana Elizabeth Roth

Individual

Emergency Registered Nurse

13162 W Clarendon Ave

Litchfield Park, AZ

1356066237

Ngalle Homes Care

Organization

Mental Illness Community Based Residential Treatment Facility

721 E Forge Ave

Mesa, AZ

1376270470

MR. MA, LISAC Woodrow Eugene Miller III

Individual

Addiction (Substance Use Disorder) Counselor

21085 W Park Meadows Dr

Buckeye, AZ

1861960486

Christina Fitzpatrick

Individual

Behavior Technician

1 S Church Ave Ste 1200

Tucson, AZ

1295450658

PA-C Abigail Jane Higgins

Individual

Family Medicine Physician

16611 S 40th St Ste 120

Phoenix, AZ

1154088532

RN Abbigael Naomi Simpson

Individual

Psychiatric/Mental Health Nurse Practitioner

1707 W Saint Marys Rd

Tucson, AZ

1508581976

Rehema Outpatient Treatment Center Llc

Organization

Mental Health Clinic/Center (Including Community Mental Health Center)

1968a N Peart Rd Ste 3

Casa Grande, AZ

1083339451

MRS. LCSW Colette Reon Hardesty-tesar X

Individual

Clinical Social Worker

3565 E Marshall Gulch Pl

Tucson, AZ

1821594557

MD Xiao Kristin Liang

Individual

Family Medicine Physician

7301 E 2nd St Ste 210

Scottsdale, AZ

1194440560

RD Haley Dawn Smith

Individual

Registered Dietitian

1200 N Beaver St

Flagstaff, AZ

1851852834

MD Nicole Marie Casey

Individual

Family Medicine Physician

3003 N 3rd St

Phoenix, AZ

1669120499

Julie Ann Roberts

Individual

Mental Health Counselor

335 N Alma School Rd

Chandler, AZ

1316335383

MOT OTR/L, BCP, CIMI Victoria Wicus

Individual

Occupational Therapist

4525 E Le Marche Ave

Phoenix, AZ

1134849490

LCSW Taylor Redding

Individual

Clinical Social Worker

3656 W Scavenger Dr

Marana, AZ

1043575483

Sierra Vista Regional Health Center Medical Group Llc

Organization

Family Medicine Physician

5750 E Highway 90

Suite 200

Sierra Vista, AZ

1447975800

PT Catherine Broadbent

Individual

Physical Therapist

23374 W Yuma Rd Ste 104

Buckeye, AZ

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