Provider Demographics
NPI:1154967826
Name:HOME OF EMPATHY LLC
Entity type:Organization
Organization Name:HOME OF EMPATHY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:NJUNGEA
Authorized Official - Last Name:TANGIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-849-6553
Mailing Address - Street 1:8102 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-2416
Mailing Address - Country:US
Mailing Address - Phone:520-849-6553
Mailing Address - Fax:520-849-6576
Practice Address - Street 1:8102 E 6TH ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-2416
Practice Address - Country:US
Practice Address - Phone:520-849-6553
Practice Address - Fax:520-849-6576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-18
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances