COLETTE ENEBOE


Address: 1015 S Val Vista Dr Unit 27, Mesa, AZ 85204-5674
Phone: 6029204041

COLETTE ENEBOE (NPI# 1508249038) 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) 1508249038
Entity Type Individual
Full Name COLETTE ENEBOE
Practice Address 1015 S Val Vista Dr Unit 27
Mesa
AZ 85204-5674
Practice Telephone 6029204041
Mailing Telephone 6029204041
Enumeration Date 2015-07-01
Last Update Date 2015-07-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 0999 AZ Nursing & Custodial Care Facilities

Office Location

Street Address 1015 S VAL VISTA DR UNIT 27
City MESA
State AZ
Zip Code 85204-5674

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194374819 Luminations Healing Center, LLC Social Worker 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 2019-09-05
1881160356 Wanjiru Landers Student in an Organized Health Care Education/Training Program 550 S Linda Circle, Mesa, AZ 85204 2018-10-22
1649754235 Adam Desnous Specialist/Technologist 751 S Daley, Mesa, AZ 85204 2018-09-19
1982128187 Michael Anthony Jones Counselor 1107 North Gilbert Rd, Mesa, AZ 85204 2017-07-29
1295287225 Scottsdale Healthcare Corp Family Medicine 2530 W. Southern Ave, Mesa, AZ 85204 2016-10-25
1427504158 Richard White Physician Assistant 2345 E Southern Ave # 101, Mesa, AZ 85204 2016-09-01
1548716780 Pain Stop Accident Injury LLC Chiropractor 425 E 11th Ave, Mesa, AZ 85204 2016-08-28
1154704252 Glenn Taylor Lesueur Dentist 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 2015-07-07
1073932513 Naomi Devine Nurse Practitioner 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 2014-04-14
1609292531 John Kamau Counselor 1060 S Lobin Ln, Mesa, AZ 85204 2014-03-17
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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
1801225594 Daniel Jayson Kronemeyer Skilled Nursing Facility 530 W 6th Dr, Mesa, AZ 85210-2316 2013-11-04
1316296122 Rithirat John Mccollum Skilled Nursing Facility 255 West Brown Rd., Mesa, AZ 85201 2012-09-07
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 85204

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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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