MEDICARE: AVRA VALLEY ASSISTED LIVING HOME LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	AL9456H	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AL9456H	OTHER	AZ	ASSISTED LIVING HOME

General Provider Information

NPI Number	:	1336548452
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVRA VALLEY ASSISTED LIVING HOME LLC

Provider Business Mailing Address
First Line	:	1621 N SILVERBELL RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85745-1816
Country	:	US
Telephone Number	:	520-622-0488
Fax Number	:	520-622-0487

Provider Business Practice Location Address
First Line	:	1621 N SILVERBELL RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85745-1816
Country	:	US
Telephone Number	:	520-622-0488
Fax Number	:	520-622-0487

Authorized Official
Title or Position	:	OWNER
Name	:	YOLANDA APODACA
Credential	:
Telephone Number	:	520-622-0488

Provider Enumeration Date	:	08/14/2014
Last Update Date	:	08/14/2014

Similar Medicare Providers

1134538440 — YOLANDA APODACA
Practice Location Address:

1621 N SILVERBELL RD
TUCSON, AZ
85745-1816

Practice Phone: 520-622-0488
Practice Fax: 520-622-0487

1952997462 — CATHERINE KAMWITHI
Practice Location Address:

1621 N SILVERBELL RD
TUCSON, AZ
85745-1816

Practice Phone: 520-622-0488
Practice Fax: 520-622-0487

1649998691 — AVRA VALLEY RELIANCE BEHAVIORAL HOME LLC
Practice Location Address:

1621 N SILVERBELL RD
TUCSON, AZ
85745-1816

Practice Phone: 520-622-0488
Practice Fax: 520-889-4536

1629836754 — LINDA KAYE WILLIAMS RDH
Practice Location Address:

2712 N EASTGATE DR
TUCSON, AZ
85712-1816

Practice Phone: 520-323-0773
Practice Fax:

1922952555 — 4 TREE LLC
Practice Location Address:

2020 N FORBES BLVD STE 101
TUCSON, AZ
85745-1415

Practice Phone: 520-201-4088
Practice Fax:

1306275037 — CENNIA NICOLE HERNANDEZ PA-C
Practice Location Address:

1775 W SAINT MARYS RD STE 116
TUCSON, AZ
85745-2662

Practice Phone: 520-293-5757
Practice Fax: 520-293-7358

Directions to “AVRA VALLEY ASSISTED LIVING HOME LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.