LAURAS ASSISTED LIVING (NPI# 1730382862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730382862 |
| Entity Type | Organization |
| Organization Name | LAURAS ASSISTED LIVING |
| Other Organization Name | LAURAS ASSISTED LIVING |
| Practice Address |
1338 W Lobo Ave Mesa AZ 85202-6651 |
| Mailing Address |
1509 W Kiowa Ave Mesa AZ 85202-6504 |
| Practice Telephone | 4804302679 |
| Practice Fax Number | 4807189810 |
| Mailing Telephone | 4804302679 |
| Mailing Fax Number | 4806990481 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MONIQUE LORIMER (OWNER) |
| Authorized Official Telephone | 4804302679 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
ALH-4157 | AZ | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Lauras Assisted Living | Other Name - Individual/Organization |
| Street Address |
1338 W LOBO AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85202-6651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728581 | Michael Ford | Custodial Care Facility | 10462 E Abilene Ave, Mesa, AZ 85208-8717 | 2020-04-14 |
| 1366977506 | Woodward Foundation for The Disabled | Custodial Care Facility | 33 S Sycamore, Suite 1, Mesa, AZ 85202-1150 | 2017-04-25 |
| 1275071433 | Anderson Assisted Living Homes, LLC | Custodial Care Facility | 9831 E Broadway Rd, Mesa, AZ 85208-2505 | 2017-02-08 |
| 1447525324 | Family Care Homes, Inc. | Custodial Care Facility | 1511 N Gilbert Rd, Mesa, AZ 85203-3902 | 2012-03-12 |
| 1114296332 | Life Sonoran Homnes | Custodial Care Facility | 2036 E Calle Maderas, Mesa, AZ 85213-2910 | 2011-12-16 |
| 1174815302 | Better Living Carehome LLC | Custodial Care Facility | 9321 E Carmel Ave, Mesa, AZ 85208-5834 | 2011-05-05 |
| 1003081860 | M E D Services | Custodial Care Facility | 3759 E Clovis Ave, Mesa, AZ 85206-1841 | 2008-04-23 |
| 1609041458 | M E D Services | Custodial Care Facility | 3065 S Canfield Cir, Mesa, AZ 85212 | 2008-04-23 |
| 1154511202 | Third Street Home | Custodial Care Facility | 1053 E 3rd St, Mesa, AZ 85203-8001 | 2007-07-25 |
| 1194861716 | Pavilion Guest Home | Custodial Care Facility | 2955 E Mallory St, Mesa, AZ 85213-1667 | 2007-01-30 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on LAURAS ASSISTED LIVING.
| 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.