RONALD JINGCO CALAGUAS (NPI# 1487253860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487253860 |
| Entity Type | Individual |
| Full Name | RONALD JINGCO CALAGUAS |
| Practice Address |
2432 W Portobello Ave Mesa AZ 85202-7871 |
| Practice Telephone | 4807937971 |
| Practice Fax Number | 4807937971 |
| Mailing Telephone | 4807937971 |
| Mailing Fax Number | 4807937971 |
| Enumeration Date | 2020-10-18 |
| Last Update Date | 2020-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL11467H | AZ | Nursing & Custodial Care Facilities |
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
| N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AL LICENSE | AL11467H | 01 |
| Street Address |
2432 W PORTOBELLO AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85202-7871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586664 | Sunland Springs Memory Care, LLC | Assisted Living Facility | 2415 S Signal Butte Rd, Mesa, AZ 85209-2107 | 2020-10-21 |
| 1851905038 | A Helping Hand Care Home | Assisted Living Facility | 847 E Glade Ave, Mesa, AZ 85204-5813 | 2020-09-03 |
| 1699301341 | Arizona Home Care Spectrum Solutions II LLC | Assisted Living Facility | 8129 E Fountain St, Mesa, AZ 85207-4915 | 2020-03-13 |
| 1043858673 | Loving Hearts Assisted Living LLC | Assisted Living Facility | 1714 S Linda, Mesa, AZ 85204-7109 | 2019-12-13 |
| 1487203543 | Heritage Village Bldg 7 | Assisted Living Facility | 8035 E Brown Rd Bldg 7, Mesa, AZ 85207-3902 | 2019-09-10 |
| 1982253043 | Heritage Village Bldg 8 LLC | Assisted Living Facility | 8035 E Brown Rd Bldg 8, Mesa, AZ 85207-3902 | 2019-09-10 |
| 1487200481 | Royalty Home Care Solutions, LLC | Assisted Living Facility | 6551 E. Menlo St, Mesa, AZ 85215 | 2019-08-15 |
| 1386101822 | Assisted Senior Living Care, LLC | Assisted Living Facility | 4149 E Greenway Cir, Mesa, AZ 85205-4036 | 2019-02-20 |
| 1851803993 | Arizona Community Assisted Living Home, LLC. | Assisted Living Facility | 9952 E Butte St, Mesa, AZ 85207-8016 | 2017-10-30 |
| 1679083703 | Mesa Grande Senior Living, Inc. | Assisted Living Facility | 520 S Higley Rd, Mesa, AZ 85206-2153 | 2017-10-03 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on RONALD JINGCO CALAGUAS.
| 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.