SPRINGDALE VILLAGE, INC.


Address: 7255 E Broadway Rd, Mesa, AZ 85208-9201
Phone: 4809818844

SPRINGDALE VILLAGE, INC. (NPI# 1528179801) 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) 1528179801
Entity Type Organization
Organization Name SPRINGDALE VILLAGE, INC.
Practice Address 7255 E Broadway Rd
Mesa
AZ 85208-9201
Practice Telephone 4809818844
Practice Fax Number 4809816998
Mailing Telephone 4809818844
Mailing Fax Number 4809816998
Enumeration Date 2006-08-31
Last Update Date 2020-08-22
Authorized Official Name LINDA L CARLSON (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 4809247777
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility NCI-426 AZ Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ 057639 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1760577993 Springdale Village, Inc. Assisted Living Facility 7255 E. Broadway Rd., Mesa, AZ 85208-9201 2006-10-04

Office Location

Street Address 7255 E BROADWAY RD
City MESA
State AZ
Zip Code 85208-9201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336699511 Allegiant Healthcare Al, LLC Assisted Living Facility 7255 E Broadway Rd, Mesa, AZ 85208-9201 2016-10-11
1790235976 Allegiant Healthcare East, LLC Skilled Nursing Facility 7255 E Broadway Rd, Mesa, AZ 85208-9201 2016-10-11
1861875569 Amanda Brueback Physical Therapy Assistant 7255 E Broadway Rd, Mesa, AZ 85208-9201 2015-06-30
1861622953 Kara Lynn Wendel Speech-Language Pathologist 7255 E Broadway Rd, Mesa, AZ 85208-9201 2009-07-22
1891924478 Therese' Marie Mullee Physical Therapist 7255 E Broadway Rd, Mesa, AZ 85208-9201 2009-07-05
1801021332 Nohora Liliana Rodriguez Physical Therapist 7255 E Broadway Rd, Mesa, AZ 85208-9201 2009-05-28
1699913160 Renaissance Village Al, LLC D/b/a Springdale Village Assisted Living Assisted Living Facility 7255 E Broadway Rd, Mesa, AZ 85208-9201 2009-01-21
1013166602 Renaissance East, LLC Skilled Nursing Facility 7255 E Broadway Rd, Mesa, AZ 85208-9201 2008-09-18
1831376466 Ronda Diane Polesky Speech-Language Pathologist 7255 E Broadway Rd, Mesa, AZ 85208-9201 2008-01-25
1790984797 Lea Caroline Bevill Physical Therapist 7255 E Broadway Rd, Mesa, AZ 85208-9201 2007-07-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588203723 Southwest Cardiovascular Interventional Center, LLC Clinic/Center 7529 E Broadway, Mesa, AZ 85208 2020-01-06
1760021802 Southwest Endovascular Center, LLC Clinic/Center 7529 E Broadway Rd, Mesa, AZ 85208 2020-01-06
1083116529 Hailey Jo Kools Specialist/Technologist 11201 N Tatum Boulevard, Phoenix, AZ 85208 2018-03-01
1356881486 Amber E Anderson Nurse Practitioner 1157 S Crismon Rd Ste 101, Mesa, AZ 85208 2017-03-08
1609264464 Desert House Assisted Living LLC Assisted Living Facility 11055 E Grove St, Mesa, AZ 85208 2015-01-02
1366881872 Freedom Az, LLC Non-emergency Medical Transport (VAN) 10682 E Oasis Dr, Mesa, AZ 85208 2013-06-18
1588922884 Aaron David Hallstrom Counselor 158 S Hassett Cir, Mesa, AZ 85208 2012-04-25
1568604593 David Berrey Internal Medicine 1917 South Crismon Rd., Mesa, AZ 85208 2009-04-06
1740475946 Jackton Simiyu Khausi Occupational Therapist 7255 E Broadway, Mesa, AZ 85208 2007-09-11
1881896900 Kate N Mullowney Pharmacist 10238 E Hampton Avenue, Suite 107, Mesa, AZ 85208 2007-06-01
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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
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
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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Competitor

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City MESA
Zip Code 85208

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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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