Historic Mesa Outpatient Rehab Clinic
LBN: Christian Care Nursing Center, Inc.
Historic Mesa Outpatient Rehab Clinic is an health care organization with primary practice located at 155 W Brown Rd , Mesa AZ 85201-3427. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Physical Therapy is the primary health care specialty.
Christian Care Nursing Center, Inc. can be contacted via phone (480) 290-7952, or through Loscheider, Kathy via phone (602) 443-5439.
Contact Information
Primary practice address
155 W Brown Rd
Mesa AZ 85201-3427
Phone: (480) 290-7952
Fax: (480) 398-2727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | OTC5456 | Arizona |
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X | OTC5456 | Arizona |
Profile Details
| NPI number | 1871998799 |
|---|---|
| LBN Legal business name | Christian Care Nursing Center, Inc. |
| DBA Doing business as | Historic Mesa Outpatient Rehab Clinic |
| Authorized official | Loscheider, Kathy MBA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 4th, 2014 |
| Last updated | Nov 4th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871998799 | NPPES |
| Arizona | Other | OTC5456 | ADHS LICENSE |
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