HIGLEY HEALTHCARE, INC. (NPI# 1063880243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063880243 |
Entity Type | Organization |
Organization Name | HIGLEY HEALTHCARE, INC. |
Other Organization Name | CITADEL POST ACUTE |
Practice Address |
5121 E Broadway Rd Mesa AZ 85206-1308 |
Practice Telephone | 4808325555 |
Practice Fax Number | 4809240090 |
Mailing Telephone | 4808325555 |
Mailing Fax Number | 4809240090 |
Enumeration Date | 2015-09-04 |
Last Update Date | 2015-09-16 |
Authorized Official Name | SOON BURNAM (TREASURER) |
Authorized Official Telephone | 9494879500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
OTC7209 | AZ | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Citadel Post Acute | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568842854 | Higley Healthcare, Inc. | Skilled Nursing Facility | 5121 E Broadway Rd, Mesa, AZ 85206-1308 | 2015-06-02 |
Street Address |
5121 E BROADWAY RD |
City | MESA |
State | AZ |
Zip Code | 85206-1308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316993793 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 5121 E Broadway Rd, Mesa, AZ 85206-1308 | 2006-05-26 |
1497269427 | Vidya Sujal Bhat | Physical Therapist | 5121 E Broadway Rd, Mesa, AZ 85206-1308 | 2017-11-29 |
1568842854 | Higley Healthcare, Inc. | Skilled Nursing Facility | 5121 E Broadway Rd, Mesa, AZ 85206-1308 | 2015-06-02 |
1114256369 | Life Care Centers of America, Inc. | Clinic/Center | 5121 E Broadway Rd, Mesa, AZ 85206-1308 | 2009-12-17 |
1780811679 | Susan Cestaro-smith | Skilled Nursing Facility | 5121 E Broadway Rd, Mesa, AZ 85206-1308 | 2009-06-17 |
1760631485 | Randee Marie Rohn | Occupational Therapist | 5121 E Broadway Rd, Mesa, AZ 85206-1308 | 2008-09-18 |
1427246016 | Amy Elizabeth Thiele | Physical Therapist | 5121 E Broadway Rd, Mesa, AZ 85206-1308 | 2007-10-09 |
1649393141 | Gregory Noga | Physical Therapy Assistant | 5121 E Broadway Rd, Mesa, AZ 85206-1308 | 2007-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
Find all providers in zip 85206 |
Taxonomy Code | 261QR0401X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Definition to come... |
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---|---|---|---|---|
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1346437308 | Mesa Health Improvement Center | Clinic/Center | 6343 E Main St, Suite 8, Mesa, AZ 85205-8954 | 2007-10-03 |
1528138393 | Genesis Physical Therapy, LLC | Clinic/Center | 6343 E Main St, Suite 8, Mesa, AZ 85205-8954 | 2006-11-09 |
1053368589 | Mesa Health Improvement Center, LLC | Clinic/Center | 6343 E Main St, Suite 8, Mesa, AZ 85205-8954 | 2006-05-29 |
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1073734075 | Toyei Industries Incorporated | Clinic/Center | Tselanicottonwood Chapter 15 Navajo Rt 4, Chinle, AZ 86503-8650 | 2007-05-01 |
1326091455 | Advanced Medical Therapy, LLC | Clinic/Center | 15640 North 7th Street, Ste 6, Phoenix, AZ 85022 | 2006-05-18 |
1104827963 | La Posada At Park Centre Inc | Clinic/Center | 700 S La Posada Cir, Green Valley, AZ 85614-5100 | 2005-08-02 |
1669095758 | Scottsdale Mental Health and Wellness Institute | Clinic/Center | 8350 E Raintree Dr Ste 130, Scottsdale, AZ 85260-2692 | 2020-05-22 |
1174173579 | Arion Care Solutions, LLC | Clinic/Center | 3200 N Dobson Rd Ste F-2, Chandler, AZ 85224-9611 | 2019-09-17 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.