SUNLAND SPRINGS MEMORY CARE, LLC (NPI# 1710586664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710586664 |
| Entity Type | Organization |
| Organization Name | SUNLAND SPRINGS MEMORY CARE, LLC |
| Practice Address |
2415 S Signal Butte Rd Mesa AZ 85209-2107 |
| Practice Telephone | 4809075588 |
| Mailing Telephone | 4809075588 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | CANDICE FINE (AUTHORIZED AGENT) |
| Authorized Official Telephone | 4802449173 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Summit at Sunland Springs | Doing Business As Name - Organization |
| Street Address |
2415 S SIGNAL BUTTE RD |
| City | MESA |
| State | AZ |
| Zip Code | 85209-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539568 | Wingfoot Wellness & Hormones LLC | Nurse Practitioner | 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 | 2020-05-07 |
| 1558916247 | Shiny Susan Thomas | Family Medicine | 7615,east Baseline Road, Mesa, AZ 85209 | 2019-08-08 |
| 1245798933 | Premier Care Medical Services Pllc | Clinic/Center | 7363 E Naranja Ave, Mesa, AZ 85209 | 2019-03-12 |
| 1518450568 | Mhb Services | Internal Medicine | 1301 S Crismon Road, Mesa, AZ 85209 | 2018-06-13 |
| 1174012934 | Andrew Swenson | Student in an Organized Health Care Education/Training Program | 10238 E. Hampton #406, Mesa, AZ 85209 | 2018-05-08 |
| 1689196057 | Monica R Meyer | Registered Nurse | 2424 S Rowen, Mesa, AZ 85209 | 2017-07-07 |
| 1629507041 | Rachel Ann Navarro | Occupational Therapist | 10431 E Natal Ave, Mesa, AZ 85209 | 2017-06-08 |
| 1073041331 | Michelle Resendez | Nurse Practitioner | 2500 S Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-31 |
| 1275069569 | Michelle Amado | Nurse Practitioner | 2500 S. Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-04 |
| 1982138079 | Warren Brent Thomas | Nurse Anesthetist, Certified Registered | 10632 E Kiva Ave, Mesa, AZ 85209 | 2017-04-14 |
| Find all providers in zip 85209 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253860 | Ronald Jingco Calaguas | Assisted Living Facility | 2432 W Portobello Ave, Mesa, AZ 85202-7871 | 2020-10-18 |
| 1851905038 | A Helping Hand Care Home | Assisted Living Facility | 847 E Glade Ave, Mesa, AZ 85204-5813 | 2020-09-03 |
| 1699301341 | Arizona Home Care Spectrum Solutions II LLC | Assisted Living Facility | 8129 E Fountain St, Mesa, AZ 85207-4915 | 2020-03-13 |
| 1043858673 | Loving Hearts Assisted Living LLC | Assisted Living Facility | 1714 S Linda, Mesa, AZ 85204-7109 | 2019-12-13 |
| 1487203543 | Heritage Village Bldg 7 | Assisted Living Facility | 8035 E Brown Rd Bldg 7, Mesa, AZ 85207-3902 | 2019-09-10 |
| 1982253043 | Heritage Village Bldg 8 LLC | Assisted Living Facility | 8035 E Brown Rd Bldg 8, Mesa, AZ 85207-3902 | 2019-09-10 |
| 1487200481 | Royalty Home Care Solutions, LLC | Assisted Living Facility | 6551 E. Menlo St, Mesa, AZ 85215 | 2019-08-15 |
| 1386101822 | Assisted Senior Living Care, LLC | Assisted Living Facility | 4149 E Greenway Cir, Mesa, AZ 85205-4036 | 2019-02-20 |
| 1851803993 | Arizona Community Assisted Living Home, LLC. | Assisted Living Facility | 9952 E Butte St, Mesa, AZ 85207-8016 | 2017-10-30 |
| 1679083703 | Mesa Grande Senior Living, Inc. | Assisted Living Facility | 520 S Higley Rd, Mesa, AZ 85206-2153 | 2017-10-03 |
| 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.