MR. RITHIRAT JOHN MCCOLLUM


Address: 255 West Brown Rd., Mesa, AZ 85201
Phone: 4808333988

MR. RITHIRAT JOHN MCCOLLUM (NPI# 1316296122) 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) 1316296122
Entity Type Individual
Full Name MR. RITHIRAT JOHN MCCOLLUM
Other Name MR. RITHIRAT JOHN MCCOLLUM
Credential COTA
Practice Address 255 West Brown Rd.
Mesa
AZ 85201
Mailing Address 16236 W. Tonto St.
Goodyear
AZ 85338
Practice Telephone 4808333988
Mailing Telephone 6028297118
Enumeration Date 2012-09-07
Last Update Date 2012-09-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 3539 AZ Nursing & Custodial Care Facilities

Office Location

Street Address 255 WEST BROWN RD.
City MESA
State AZ
Zip Code 85201

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174141980 Arch Hospice, LLC. Hospice Care, Community Based 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 2020-07-08
1861025876 Summit Bhc Mesa LLC Clinic/Center 846 North Center Street Suite 101, Mesa, AZ 85201 2020-02-18
1427600774 Coleen Chatter Counselor 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 2019-07-16
1013487800 Akos Live Family Medicine 1902 W. Main Street, Mesa, AZ 85201 2018-12-05
1760990329 Sage Counseling, Inc. Community/Behavioral Health 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 2018-01-17
1336590025 Horizon Health and Wellness, Inc. Assisted Living Facility 453 West Sunset Circle, Mesa, AZ 85201 2016-06-24
1356711279 Cheryl Agosto Registered Nurse 1025 N. Country Club Dr, Mesa, AZ 85201 2015-10-05
1861877961 Richard Roble Speech-Language Pathologist 125 N. Country Club Dr., Mesa, AZ 85201 2015-07-30
1326440991 Demetria Harris Counselor 455 N. Mesa Drive #11, Mesa, AZ 85201 2014-09-25
1588002489 Zhen Liu Acupuncturist 210n. Center St, #102, Mesa, AZ 85201 2013-06-13
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508249038 Colette Eneboe Skilled Nursing Facility 1015 S Val Vista Dr Unit 27, Mesa, AZ 85204-5674 2015-07-01
1801225594 Daniel Jayson Kronemeyer Skilled Nursing Facility 530 W 6th Dr, Mesa, AZ 85210-2316 2013-11-04
1407152812 Asante of Mesa, LLC Skilled Nursing Facility 5358 East Baseline Road, Mesa, AZ 85206-4716 2011-02-02
1508037987 Pinnacle Health Facilities Xxvi Lp Skilled Nursing Facility 6461 E Baywood Ave, Mesa, AZ 85206-1744 2008-03-13
1265543607 Sunrise Mesa Health Care Center Inc Skilled Nursing Facility 3130 E Broadway Rd, Mesa, AZ 85204-1740 2006-08-31
1528179801 Springdale Village, Inc. Skilled Nursing Facility 7255 E Broadway Rd, Mesa, AZ 85208-9201 2006-08-31
1295768620 Ahc of Mesa LLC Skilled Nursing Facility 5755 E Main St, Mesa, AZ 85205-8814 2006-07-09
1528006012 Mesa United Medical Investors Limited Partnership Skilled Nursing Facility 330 S Pinnule Cir, Mesa, AZ 85206-1636 2006-06-04
1316993793 Life Care Centers of America, Inc. Skilled Nursing Facility 5121 E Broadway Rd, Mesa, AZ 85206-1308 2006-05-26
1114975810 Evergreen Mesa Christian, L.L.C. Skilled Nursing Facility 255 W Brown Rd, Mesa, AZ 85201-3404 2006-05-04
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City MESA
Zip Code 85201

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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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