HERITAGE VILLAGE BLDG3, LLC (NPI# 1821508961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821508961 |
Entity Type | Organization |
Organization Name | HERITAGE VILLAGE BLDG3, LLC |
Practice Address |
8035 E Brown Rd Mesa AZ 85207-3901 |
Mailing Address |
2813 63rd Avenue Ct Nw Gig Harbor WA 98335-8455 |
Practice Telephone | 4806868540 |
Mailing Telephone | 2532414992 |
Enumeration Date | 2017-10-03 |
Last Update Date | 2017-10-03 |
Authorized Official Name | RON STEWART (MANAGER) |
Authorized Official Telephone | 2532414992 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | AL10536C | AZ | Nursing & Custodial Care Facilities |
Street Address |
8035 E BROWN RD |
City | MESA |
State | AZ |
Zip Code | 85207-3901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760449490 | Stacy Deann Veldhuizen Mickey | Family Medicine | 8035 E Brown Rd, Bldg 4, Mesa, AZ 85207 | 2006-04-27 |
1609486216 | Heritage Village Bldg1 LLC | Alzheimer Center (Dementia Center) | 8035 E Brown Rd, Mesa, AZ 85207-3901 | 2020-08-07 |
1790395309 | Heritage Village Bldg9 LLC | Assisted Living Facility | 8035 E Brown Rd, Mesa, AZ 85207-3901 | 2020-08-07 |
1467962506 | Heritage Village Bldg5, LLC | Assisted Living Facility | 8035 E Brown Rd, Mesa, AZ 85207-3901 | 2017-10-03 |
1922518067 | Heritage Village Bldg2, LLC | Assisted Living Facility | 8035 E Brown Rd, Mesa, AZ 85207-3901 | 2017-10-03 |
1811407950 | Heritage Village Bldg6, LLC | Assisted Living Facility | 8035 E Brown Rd, Mesa, AZ 85207-3901 | 2017-10-03 |
1235675703 | Samuel Hulsey | Pharmacist | 8035 E Brown Rd, Bldg 4, Suite-c, Mesa, AZ 85207-3901 | 2017-01-09 |
1982152732 | Freedom Pharmacy of Arizona At Red Mountain LLC | Pharmacy | 8035 E Brown Rd, Bldg 4, Ste C, Mesa, AZ 85207-3901 | 2016-09-21 |
1508310665 | East Mesa Family Doctors Pllc | Family Medicine | 8035 E Brown Rd, Bldg 4, Mesa, AZ 85207 | 2016-08-06 |
1740637651 | Heritage Village 3 LLC | Assisted Living Facility | 8035 E Brown Rd, Bldg#3, Mesa, AZ 85207-3901 | 2016-05-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790241743 | Sharin Lane | Physical Therapist | Spooner North Mesa, PC, 6824 E Brown Rd # 102, Mesa, AZ 85207 | 2019-02-14 |
1154898435 | Phoenix Physician Group, LLC | Emergency Medicine | 3430 N. Mountain Ridge, Unit 14, Mesa, AZ 85207 | 2018-10-25 |
1467970939 | Kerry Mae Kenley | Specialist/Technologist | 7556 E. Laurel St, Mesa, AZ 85207 | 2017-09-05 |
1053709287 | Barbara Bowen | Speech-Language Pathologist | 8433 E. Leland St., Mesa, AZ 85207 | 2014-12-22 |
1043561046 | Joseph Allen Kempton | Physical Therapist | 844 N. Ellsworth Rd, Mesa, AZ 85207 | 2012-10-01 |
1629327556 | Odyssey Services Corp. | Community/Behavioral Health | 8947 East Quill Street, Mesa, AZ 85207 | 2012-09-06 |
1962729160 | Chao Li | Dermatology | 6832 E Brown Rd, Mesa, AZ 85207 | 2010-04-27 |
1366670929 | Trevor Lee Caffall | Dentist | 6812 E. Brown Rd., Ste 102, Mesa, AZ 85207 | 2009-06-22 |
1396928073 | Dht Hand Therapy Limited Partnership | Occupational Therapist | 7165 E University Dr Ste 143, Mesa, AZ 85207 | 2007-12-17 |
1184794075 | Karen L Thomas Pllc | Nurse Practitioner | 3902 N. Stone Gully Cricle, Mesa, AZ 85207 | 2006-11-08 |
Find all providers in zip 85207 |
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 |
---|---|---|---|---|
1710586664 | Sunland Springs Memory Care, LLC | Assisted Living Facility | 2415 S Signal Butte Rd, Mesa, AZ 85209-2107 | 2020-10-21 |
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 |
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.