Evergreen Mesa Christian, L.L.C. in Mesa - Skilled Nursing Facility
Evergreen Mesa Christian, L.L.C. - NPI 1114975810
Evergreen Mesa Christian, L.L.C. is a Skilled Nursing Facility in Mesa, Arizona. Evergreen Mesa Christian, L.L.C. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evergreen Mesa Christian, L.L.C. is 1114975810. The last update date is 2020-08-22.
Evergreen Mesa Christian, L.L.C.'s current location address is 255 W Brown Rd, Mesa, Arizona. You can contact this provider via phone number 4808333988 and fax number 4808337122. The mailing address for Evergreen Mesa Christian, L.L.C. is 255 W Brown Rd, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Mesa Christian, L.L.C. |
|---|---|
| Address | 255 W Brown Rd, Mesa, Arizona |
| Phone Number | 4808333988 |
| Fax Number | 4808337122 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Martini V. Andrew |
| Telephone Number | 3608926628 |
NPI Number Detail
| NPI Number | 1114975810 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 255 W Brown Rd |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852013404 |
| Phone Number | 4808333988 |
| Fax Number | 4808337122 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | NCI-2629 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 748791 | AZ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Evergreen Mesa Christian, L.L.C.?
The Evergreen Mesa Christian, L.L.C. has been issued the NPI (National Provider Identifier) 1114975810 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Evergreen Mesa Christian, L.L.C.?
The Evergreen Mesa Christian, L.L.C. is physically situated at 255 W Brown Rd, in the city of Mesa, state of AZ, with the postal code 852013404.
What is Evergreen Mesa Christian, L.L.C.'s area of expertise and its corresponding taxonomy classification?
The Evergreen Mesa Christian, L.L.C.'s field of specialization is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their areas of practice.
When did the Evergreen Mesa Christian, L.L.C. receive its 1114975810?
The Evergreen Mesa Christian, L.L.C. was issued its 1114975810 on 2006-05-04, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Evergreen Mesa Christian, L.L.C. last refreshed?
The information related to the Evergreen Mesa Christian, L.L.C., including its address, specialty, and other relevant details, was last updated on 2020-08-22.