COLETTE ENEBOE (NPI# 1508249038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 0999 | AZ | Nursing & Custodial Care Facilities |
Street Address |
1015 S VAL VISTA DR UNIT 27 |
City | MESA |
State | AZ |
Zip Code | 85204-5674 |
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 |
Find all providers in zip 85204 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(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. |
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 |
Find all providers in MESA |
Please comment or provide details below to improve the information on COLETTE ENEBOE.
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.