MEDICARE: THE GARDENS AT SAN CARLOS

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

General Provider Information

NPI Number	:	1447192638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE GARDENS AT SAN CARLOS

Provider Business Mailing Address
First Line	:	4335 E SAN CARLOS PLACE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712
Country	:	US
Telephone Number	:	757-567-1150
Fax Number	:

Provider Business Practice Location Address
First Line	:	4553 E SAN CARLOS PL S
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1916
Country	:	US
Telephone Number	:	757-567-1150
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WILLIAM OTTO WOODRING
Credential	:
Telephone Number	:	757-567-1150

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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Directions to “THE GARDENS AT SAN CARLOS ” Practice Location

Language	Start Address	Practice Location

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