Trillium Specialty Hospital - East Valley
LBN: Hearthstone Hospital - Mesa, Llc
Trillium Specialty Hospital - East Valley is an health care organization with primary practice located at 215 S Power Rd , Mesa AZ 85206-5235. The organization recently has 3 registered licenses in different health care specialties including Hospitals / Long Term Care Hospital, Hospitals / General Acute Care Hospital, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Hearthstone Hospital - Mesa, Llc can be contacted via phone (480) 945-7711, or through De Souza, Glenn via phone (480) 945-7711.
Contact Information
Primary practice address
215 S Power Rd
Mesa AZ 85206-5235
Phone: (480) 945-7711
Fax: (480) 945-8266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / Long Term Care Hospital | 282E00000X | SH 4388 | Arizona |
| Hospitals / General Acute Care Hospital | 282N00000X | ||
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X |
Profile Details
| NPI number | 1396872719 |
|---|---|
| LBN Legal business name | Hearthstone Hospital - Mesa, Llc |
| DBA Doing business as | Trillium Specialty Hospital - East Valley |
| Authorized official | De Souza, Glenn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jun 29th, 2010 - about 14 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 | 1396872719 | NPPES |
| Arizona | MEDICAID | 363701 | |
| Arizona | Other | 035129 |
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