ERNESTA PEARL (NPI# 1588992820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588992820 |
| Entity Type | Organization |
| Organization Name | ERNESTA PEARL |
| Other Organization Name | MESA MANOR HOME |
| Practice Address |
2836 S 94th St Mesa AZ 85212-1412 |
| Mailing Address |
13614 N 89th St Scottsdale AZ 85260-7653 |
| Practice Telephone | 6022959214 |
| Practice Fax Number | 4802191607 |
| Mailing Telephone | 6022959214 |
| Mailing Fax Number | 4802191607 |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2009-11-25 |
| Authorized Official Name | MS. ERNESTA DAUZ PEARL (OWNER/LICENSEE) |
| Authorized Official Telephone | 6022959214 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
BH-3308 | AZ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mesa Manor Home | Doing Business As Name - Organization |
| Street Address |
2836 S 94TH ST |
| City | MESA |
| State | AZ |
| Zip Code | 85212-1412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
| 1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
| 1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
| Find all providers in zip 85212 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1700398682 | Advanced Metabolic Testing LLC | Clinic/Center | 1425 S Greenfield Rd Ste 101, Mesa, AZ 85206-5505 | 2017-10-31 |
| 1417349051 | Lifestyle Health and Wellness | Clinic/Center | 65 E 1st Ave, Ste 101, Mesa, AZ 85210-1456 | 2015-02-19 |
| 1225326796 | Marc Community Resources, Inc. | Clinic/Center | 737 W Guadalupe Rd, Suite 123 and Suite 124, Mesa, AZ 85210-7703 | 2011-07-18 |
| 1528366119 | Eden Adult Care Facility, Inc. | Clinic/Center | 216 S 98th Way, Mesa, AZ 85208-1874 | 2011-03-04 |
| 1881826766 | Grace Home Health Care, LLC | Clinic/Center | 1930 S Alma School Rd Ste B206, Mesa, AZ 85210-3041 | 2009-08-11 |
| 1699912360 | All Sports Foundation, Inc | Clinic/Center | 322 E Brown Rd Ste 103, Mesa, AZ 85201-3563 | 2009-01-16 |
| 1801044912 | Concentra Health Services, Inc. | Clinic/Center | 1959 S. Val Vista Road, Suite 106, Mesa, AZ 85204 | 2008-09-03 |
| 1982884425 | Harmony Circle Assisted Living | Clinic/Center | 1841 E Harmony Cir, Mesa, AZ 85204-6037 | 2007-11-13 |
| 1871782490 | American Current Care of Arizona Pa | Clinic/Center | 1710 West Southern, Mesa, AZ 85202 | 2007-10-19 |
| 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.