Evergreen Mesa Christian Health And Rehabilitation Center
LBN: Evergreen Mesa Christian, L.L.C.
Evergreen Mesa Christian Health And Rehabilitation Center is an health care organization with primary practice located at 255 W Brown Rd , Mesa AZ 85201-3404. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Evergreen Mesa Christian, L.L.C. can be contacted via phone (480) 833-3988, or through Martini, Andrew V. via phone (360) 892-6628.
Contact Information
Primary practice address
255 W Brown Rd
Mesa AZ 85201-3404
Phone: (480) 833-3988
Fax: (480) 833-7122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | NCI-2629 | Arizona |
Profile Details
| NPI number | 1114975810 |
|---|---|
| LBN Legal business name | Evergreen Mesa Christian, L.L.C. |
| DBA Doing business as | Evergreen Mesa Christian Health And Rehabilitation Center |
| Authorized official | Martini, Andrew V. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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 | 1114975810 | NPPES |
| Arizona | MEDICAID | 748791 |
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