ANASAZI FOUNDATION (NPI# 1831580810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831580810 |
| Entity Type | Organization |
| Organization Name | ANASAZI FOUNDATION |
| Practice Address |
1424 S Stapley Dr Mesa AZ 85204-5877 |
| Practice Telephone | 4808927403 |
| Mailing Telephone | 4808927403 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |
| Authorized Official Name | MR. MICHAEL MERCHANT (CEO PRESIDENT) |
| Authorized Official Telephone | 4808927403 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | BH1130 | AZ | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497833644 | Anasazi Foundation | Substance Abuse Rehabilitation Facility | 1424 S Stapley Dr, Mesa, AZ 85204-5877 | 2006-11-02 |
| Street Address |
1424 S STAPLEY DR |
| City | MESA |
| State | AZ |
| Zip Code | 85204-5877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497833644 | Anasazi Foundation | Substance Abuse Rehabilitation Facility | 1424 S Stapley Dr, Mesa, AZ 85204-5877 | 2006-11-02 |
| 1952888075 | Rachel Weinstock | Social Worker | 1424 S Stapley Dr, Mesa, AZ 85204-5877 | 2018-07-21 |
| 1326538711 | Mary Kristene Thompson | Counselor | 1424 S Stapley Dr, Mesa, AZ 85204-5877 | 2018-05-11 |
| 1962939025 | Garrett Weston Bedford | Social Worker | 1424 S Stapley Dr, Mesa, AZ 85204-5877 | 2017-05-18 |
| 1730539024 | Kevin Lloyd Glenn | Counselor | 1424 S Stapley Dr, Mesa, AZ 85204-5877 | 2016-06-16 |
| 1417214263 | Sulay Tovar | Social Worker | 1424 S Stapley Dr, Mesa, AZ 85204-5877 | 2012-04-18 |
| 1497021828 | Nathan Mitchell | Counselor | 1424 S Stapley Dr, Mesa, AZ 85204-5877 | 2012-03-29 |
| 1699918862 | Tally Iskovitz | Counselor | 1424 S Stapley Dr, Anasazi Foundation - San Tan Counseling, Mesa, AZ 85204-5877 | 2009-04-17 |
| 1710055934 | Rosemary Case | Social Worker | 1424 S Stapley Dr, Mesa, AZ 85204-5877 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073179883 | Dara II Inc | Substance Abuse Rehabilitation Facility | 4645 E Ellis Cir, Mesa, AZ 85205-5238 | 2019-05-16 |
| 1417458753 | Reboot Detox Az LLC | Substance Abuse Rehabilitation Facility | 1132 S Oakland, Mesa, AZ 85206-2682 | 2018-02-22 |
| 1326491283 | Soba Mesa LLC | Substance Abuse Rehabilitation Facility | 6215 E Arbor Ave, Mesa, AZ 85206-6064 | 2016-07-15 |
| 1841649258 | Big Sky Recovery LLC | Substance Abuse Rehabilitation Facility | 2360 N Robin Ln, Mesa, AZ 85213-2474 | 2016-06-07 |
| 1104209352 | Recovery Homes, Inc | Substance Abuse Rehabilitation Facility | 141 South Center Street, Suite B, Mesa, AZ 85210 | 2015-07-07 |
| 1710369483 | Recovery Homes, Inc | Substance Abuse Rehabilitation Facility | 143 S Center St, Suite A, Mesa, AZ 85210-1307 | 2015-06-18 |
| 1306243084 | Residents At The Heights LLC | Substance Abuse Rehabilitation Facility | 215 S Power Rd Ste 1251, Mesa, AZ 85206-5238 | 2014-11-25 |
| 1538599469 | The River Source Iop LLC | Substance Abuse Rehabilitation Facility | 128 W Pepper Pl, Mesa, AZ 85201-7317 | 2013-11-13 |
| 1578807145 | Recovery Help, LLC. | Substance Abuse Rehabilitation Facility | 3945 E Broadway Rd, Mesa, AZ 85206-1030 | 2012-11-20 |
| 1497833644 | Anasazi Foundation | Substance Abuse Rehabilitation Facility | 1424 S Stapley Dr, Mesa, AZ 85204-5877 | 2006-11-02 |
| 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.