Healthcare Provider Details

I. General information

NPI: 1972553717
Provider Name (Legal Business Name): ALTRUISTIX NURSING SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 10/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 S PLUMER AVE # 38
TUCSON AZ
85719-6303
US

IV. Provider business mailing address

245 S PLUMER AVE # 38
TUCSON AZ
85719-6303
US

V. Phone/Fax

Practice location:
  • Phone: 520-797-2574
  • Fax: 520-888-3023
Mailing address:
  • Phone: 520-797-2574
  • Fax: 520-888-3023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License NumberHHA1434
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number145179
License Number StateAZ

VIII. Authorized Official

Name: MRS. ROBERTA A. BECKY GAMEZ
Title or Position: CEO
Credential: RN,BSN
Phone: 520-797-2574