HEARTHSTONE MANOR
NPI 1124321864
Assisted Living Facility in Tucson, AZ

Active since December 20, 2010
9221 E DOLORES ST, TUCSON, AZ 85730(520) 396-4779(520) 777-6636 Get Directions Write a Review

NPPES record last updated: December 20, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hearthstone Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEARTHSTONE MANOR (NPI 1124321864) is a healthcare organization registered as an assisted living facility in Tucson, Arizona and active in the NPI registry since December 2010. The organization lists Jacqueline Fegert, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1124321864
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHEARTHSTONE MANOR LLC
Location Address9221 E DOLORES STTucson, AZ 85730-2132
Mailing Address9221 E Dolores StTucson, AZ 85730-2132 · (520) 396-4779 · Fax (520) 777-6636
Fax(520) 777-6636
Organization SubpartNo
Authorized OfficialJacqueline FegertOwner/manager · (520) 396-4779
Enumeration DateDecember 20, 2010
NPI 1124321864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in AZ · AL6579H
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
9221 E DOLORES ST, Tucson, AZ 85730

Other Names 1

Doing Business AsHearthstone Manor

Other Identifiers 1

Medicaid267331AZ

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Residential Treatment Facility, Emotionally Disturbed Children
9221 E DOLORES ST
TUCSON, AZ 85730
Custodial Care Facility (Adult Care Home)
9221 E DOLORES ST
TUCSON, AZ 85730

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hearthstone Manor LLC's NPI number?

The NPI number for Hearthstone Manor LLC is 1124321864. It was assigned to this organization in the NPPES registry on December 20, 2010. The provider is doing business as Hearthstone Manor.

Where is Hearthstone Manor LLC located?

Hearthstone Manor LLC is located at 9221 E Dolores St, Tucson, AZ 85730. The listed phone number is (520) 396-4779.

What is Hearthstone Manor LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Hearthstone Manor LLC was last updated on December 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.