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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | NCI-426 | AZ | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 057639 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760577993 | Springdale Village, Inc. | Assisted Living Facility | 7255 E. Broadway Rd., Mesa, AZ 85208-9201 | 2006-10-04 |
Street Address |
7255 E BROADWAY RD |
City | MESA |
State | AZ |
Zip Code | 85208-9201 |
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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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 |
Find all providers in zip 85208 |
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 |
---|---|---|---|---|
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 |
Find all providers in MESA |
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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.