Evergreen At Mesa (Alf), L.L.C. in Mesa - Assisted Living Facility
Evergreen At Mesa (Alf), L.L.C. - NPI 1093914004
Evergreen At Mesa (Alf), L.L.C. is a Assisted Living Facility in Mesa, Arizona. Evergreen At Mesa (Alf), L.L.C. practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Evergreen At Mesa (Alf), L.L.C. is 1093914004. The last update date is 2007-07-11.
Evergreen At Mesa (Alf), L.L.C.'s current location address is 215 W Brown Rd, Mesa, Arizona. You can contact this provider via phone number 4806686118 and fax number 4804611552. The mailing address for Evergreen At Mesa (Alf), L.L.C. is 215 W Brown Rd, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen At Mesa (Alf), L.L.C. |
|---|---|
| Address | 215 W Brown Rd, Mesa, Arizona |
| Phone Number | 4806686118 |
| Fax Number | 4804611552 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Nipp Anne |
| Telephone Number | 3608926618 |
NPI Number Detail
| NPI Number | 1093914004 |
|---|---|
| Provider Enumeration Date | 2007-07-11 |
| Last Updated Date | 2007-07-11 |
Provider Mailing Address Detail
| Address | 215 W Brown Rd |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852013415 |
| Phone Number | 4806686118 |
| Fax Number | 4804611552 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | ALC-5063 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 937427 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Evergreen At Mesa (Alf), L.L.C. by the Centers for Medicare & Medicaid Services?
The Evergreen At Mesa (Alf), L.L.C. has been assigned the NPI (National Provider Identifier) 1093914004. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Evergreen At Mesa (Alf), L.L.C.'s physical address?
The Evergreen At Mesa (Alf), L.L.C. is physically located at 215 W Brown Rd, in the city of Mesa, AZ, with the postal code 852013415.
What is Evergreen At Mesa (Alf), L.L.C.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Evergreen At Mesa (Alf), L.L.C. is Assisted Living Facility, and the corresponding taxonomy classification code for this specialized field is 310400000X.
On what date was the 1093914004 assigned to Evergreen At Mesa (Alf), L.L.C.?
The Evergreen At Mesa (Alf), L.L.C. was issued its 1093914004 on 2007-07-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Evergreen At Mesa (Alf), L.L.C. most recently updated or revised?
The details related to Evergreen At Mesa (Alf), L.L.C., including its address, specialty, and other relevant information, were last updated or revised on 2007-07-11.
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