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PAUL HERNANDEZ MANAGER
NPI 1164264420
Custodial Care Facility - Adult Care Home in Tucson, AZ

Active since June 08, 2024
685 W ROLLER COASTER RD, TUCSON, AZ 85704(520) 293-3404(520) 989-9885 Get Directions Write a Review

NPPES record last updated: June 8, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Paul Hernandez Manager NPPES

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

PAUL HERNANDEZ MANAGER (NPI 1164264420) is an individual adult care home provider in Tucson, Arizona, licensed in Arizona (AL0128H) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1164264420
Entity TypeIndividualMale
Primary Taxonomy311ZA0620X
Provider Legal NamePAUL HERNANDEZCredential: MANAGER
Location Address685 W ROLLER COASTER RDTucson, AZ 85704-3817
Mailing Address685 W Roller Coaster RdTucson, AZ 85704-3817 · (520) 293-3404 · Fax (520) 989-9885
Phone(520) 293-3404
Fax(520) 989-9885
Sole ProprietorYes
Enumeration DateJune 8, 2024
NPPES CertifiedJune 8, 2024
✔ NPI 1164264420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in AZ · AL0128H
Definition
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.
685 W ROLLER COASTER RD, Tucson, AZ 85704
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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 Paul Hernandez's NPI number?

The NPI number for Paul Hernandez is 1164264420. It was assigned to this individual provider in the NPPES registry on June 8, 2024.

Where is Paul Hernandez located?

Paul Hernandez practices at 685 W Roller Coaster Rd, Tucson, AZ 85704. The listed phone number is (520) 293-3404.

What is Paul Hernandez's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Paul Hernandez was last updated on June 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.