Comfort Haven Of Mesa

LBN: Active Assisted Living, Llc
Comfort Haven Of Mesa is an health care organization with primary practice located at 758 S Toltec , Mesa AZ 85204-3642. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, which is considered as the primary health care specialty. Active Assisted Living, Llc can be contacted via phone (480) 461-8272, or through Tharalson, Steven James via phone (480) 461-8272.

Contact Information

Primary practice address
758 S Toltec Mesa AZ 85204-3642
Phone: (480) 461-8272
Fax: (480) 461-4682
Website:
Map and Directions
Authorized official contact:
Name: Tharalson, Steven James
Phone: (480) 461-8272

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X ALH-4567 Arizona

Profile Details

NPI number 1629198858
LBN Legal business name Active Assisted Living, Llc
DBA Doing business as Comfort Haven Of Mesa
Authorized official Tharalson, Steven James
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2007
Last updated Aug 1st, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629198858 NPPES
Arizona Other ALH-4567 ASSISTED LIVING LICENSE

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