Evergreen At Mesa, L.l.c., NPI 1275581951
Skilled Nursing Facility in Mesa, AZ, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1275581951
NPI Entity Type Organization
Provider Name Evergreen At Mesa, L.l.c.
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 6458 E Broadway Rd, Mesa, AZ, US
Provider Mailing Address 4601 Ne 77th Ave, Suite 300, Vancouver, WA, US, 986626729
Is Sole Proprietor? No
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Organization Official

Official Name MR. Andrew V. Martini
Official Position MANAGER
Phone 360-892-6628

Primary Taxonomy

Taxonomy Code

314000000X

Taxonomy Name Skilled Nursing Facility
Classification

Skilled Nursing Facility

Group

Nursing & Custodial Care Facilities

License No. NCA-2627
License State AZ
Description (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Other Organization Name

Evergreen Valley Health and Rehabilitation Center
Doing Business As

Business Address

Evergreen At Mesa, L.l.c.
6458 E Broadway Rd

Mesa, AZ, US

Phone: 480-832-5160
Fax: 480-854-7046

Mailing Address

Evergreen At Mesa, L.l.c.
4601 Ne 77th Ave
Suite 300
Vancouver, WA, US
ZIP 986626729
Phone: 360-892-6628
Fax: 360-882-5793

Other Providers in AZ, US

NPI Name Taxonomy Address

1659836476

Kerri Hohn

Individual

Behavior Technician

2222 S Dobson Rd Bldg 9

Mesa, AZ

1194108852

M.A., N.C.C., L.P.C Robert Dale Labrum

Individual

Mental Health Counselor

1845 S Dobson Rd Ste 101

Mesa, AZ

1598703217

DR. M.D. Vincent Paul Goux

Individual

Family Medicine Physician

3320 N 3rd Ave

Phoenix, AZ

1144730607

Atlas Medical Systems, Pllc

Organization

Family Medicine Physician

3320 N 3rd Ave

Phoenix, AZ

1548982523

Tiana Elizabeth Roth

Individual

Emergency Registered Nurse

13162 W Clarendon Ave

Litchfield Park, AZ

1356066237

Ngalle Homes Care

Organization

Mental Illness Community Based Residential Treatment Facility

721 E Forge Ave

Mesa, AZ

1376270470

MR. MA, LISAC Woodrow Eugene Miller III

Individual

Addiction (Substance Use Disorder) Counselor

21085 W Park Meadows Dr

Buckeye, AZ

1861960486

Christina Fitzpatrick

Individual

Behavior Technician

1 S Church Ave Ste 1200

Tucson, AZ

1295450658

PA-C Abigail Jane Higgins

Individual

Family Medicine Physician

16611 S 40th St Ste 120

Phoenix, AZ

1154088532

RN Abbigael Naomi Simpson

Individual

Psychiatric/Mental Health Nurse Practitioner

1707 W Saint Marys Rd

Tucson, AZ

1508581976

Rehema Outpatient Treatment Center Llc

Organization

Mental Health Clinic/Center (Including Community Mental Health Center)

1968a N Peart Rd Ste 3

Casa Grande, AZ

1083339451

MRS. LCSW Colette Reon Hardesty-tesar X

Individual

Clinical Social Worker

3565 E Marshall Gulch Pl

Tucson, AZ

1821594557

MD Xiao Kristin Liang

Individual

Family Medicine Physician

7301 E 2nd St Ste 210

Scottsdale, AZ

1194440560

RD Haley Dawn Smith

Individual

Registered Dietitian

1200 N Beaver St

Flagstaff, AZ

1851852834

MD Nicole Marie Casey

Individual

Family Medicine Physician

3003 N 3rd St

Phoenix, AZ

1669120499

Julie Ann Roberts

Individual

Mental Health Counselor

335 N Alma School Rd

Chandler, AZ

1316335383

MOT OTR/L, BCP, CIMI Victoria Wicus

Individual

Occupational Therapist

4525 E Le Marche Ave

Phoenix, AZ

1134849490

LCSW Taylor Redding

Individual

Clinical Social Worker

3656 W Scavenger Dr

Marana, AZ

1043575483

Sierra Vista Regional Health Center Medical Group Llc

Organization

Family Medicine Physician

5750 E Highway 90

Suite 200

Sierra Vista, AZ

1447975800

PT Catherine Broadbent

Individual

Physical Therapist

23374 W Yuma Rd Ste 104

Buckeye, AZ

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