SOBA MESA LLC


Address: 6262 E Broadway Rd, Mesa, AZ 85206-6101
Phone: 4806644053

SOBA MESA LLC (NPI# 1144670951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144670951
Entity Type Organization
Organization Name SOBA MESA LLC
Practice Address 6262 E Broadway Rd
Mesa
AZ 85206-6101
Practice Telephone 4806644053
Enumeration Date 2016-06-13
Last Update Date 2016-06-13
Authorized Official Name MICHELLE JOHNS (ACCOUNT EXECUTIVE)
Authorized Official Telephone 3104572730
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
OTC6989 AZ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ CLIA 03D2084103 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1326491283 Soba Mesa LLC Substance Abuse Rehabilitation Facility 6215 E Arbor Ave, Mesa, AZ 85206-6064 2016-07-15
1063865921 Soba Mesa LLC Clinical Medical Laboratory 6215 E Arbor Ave, Mesa, AZ 85206-6064 2016-07-15
1629489513 Soba Mesa LLC Substance Abuse Rehabilitation Facility 3755 E Menlo St, Mesa, AZ 85215-1717 2014-05-13

Office Location

Street Address 6262 E BROADWAY RD
City MESA
State AZ
Zip Code 85206-6101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780682666 Robert J Scharber Audiologist 6262 E Broadway Rd, #103, Mesa, AZ 85206-6101 2005-07-13
1538688841 Danielle N Olin Counselor 6262 E Broadway Rd, Mesa, AZ 85206-6101 2017-09-18
1548707839 Christina Kennedy Marriage & Family Therapist 6262 E Broadway Rd, Mesa, AZ 85206-6101 2017-01-24
1366895427 Jackie Powell Counselor 6262 E Broadway Rd, Suite 101, Mesa, AZ 85206-6101 2016-07-13
1235580713 David Emenhiser Counselor 6262 E Broadway Rd, Suite 101, Mesa, AZ 85206-6101 2016-06-27
1336590942 Lisa Ulibarri Counselor 6262 E Broadway Rd, Mesa, AZ 85206-6101 2016-06-24
1578880720 John Gossett Social Worker 6262 E Broadway Rd, Mesa, AZ 85206-6101 2010-04-28
1215083506 The Retina Group, Pllc Ophthalmology 6262 E Broadway Rd, Ste 106, Mesa, AZ 85206-6101 2007-01-27
1689648875 Alyssa Kim Ophthalmology 6262 E Broadway Rd, Suite 106, Mesa, AZ 85206-6101 2006-02-14
1598763484 East Valley Hearing Center Inc Audiologist 6262 E Broadway Rd, #103, Mesa, AZ 85206-6101 2005-07-13
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154940864 Light House Group Home LLC Clinic/Center 108 E 2nd Ave Ste 101, Mesa, AZ 85210-1410 2020-04-13
1871128520 Summit Bhc Mesa LLC Clinic/Center 860 N Center St Bldg 1-3, Mesa, AZ 85201-4201 2020-03-03
1861025876 Summit Bhc Mesa LLC Clinic/Center 846 North Center Street Suite 101, Mesa, AZ 85201 2020-02-18
1437617958 Choice Recovery Center, LLC Clinic/Center 2222 S Dobson Rd Ste 1002, Mesa, AZ 85202-6200 2019-03-04
1851740898 Evolution Way Clinic/Center 724 W University Dr, Suite 103, Mesa, AZ 85201-5649 2016-06-10
1437213725 Community Bridges Clinic/Center 554 S Bellview, Mesa, AZ 85204-2504 2006-12-20
1518923168 Curtis Walling, Phd PC Clinic/Center 3660 E University Dr, Mesa, AZ 85205-6960 2006-04-24
1841752581 Crossroads, Inc. Red Mountain Clinic/Center 143 S Center St, Mesa, AZ 85210-1307 2019-04-02
1598235665 Phoenix Addiction Recovery LLC Clinic/Center 4135 S Power Rd Ste 113, Mesa, AZ 85212-3625 2018-11-30
1861853756 Archways Recovery Centers, LLC Clinic/Center 2222 S Dobson Rd, Suite 1002, Mesa, AZ 85202-6481 2016-03-18
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Competitor

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City MESA
Zip Code 85206

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Dataset Information

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.

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