Individual provider · Type 1 NPI
Josephine Jimenez
Adult Care Home Facility · Tempe, AZ
NPI number
1952764102
Active
Practice location
804 W Orion St
Tempe, AZ 85283-2735
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility | 310400000X | AL10146H (AZ) |
| Adult Care Home Facility Primary | 311ZA0620X | AL9899H (AZ) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Another provider at this address
About NPI 1952764102
Josephine Jimenez's National Provider Identifier is 1952764102, issued on Apr 4, 2016. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Tempe, AZ. The record was last updated on Apr 19, 2023.