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Evergreen Mesa Christian, L.l.c.
Skilled Nursing Facility in Mesa, Arizona
NPI 1114975810

Evergreen Mesa Christian, L.l.c. is a Skilled Nursing Facility based in Vancouver, AZ. Evergreen Mesa Christian, L.l.c. practices in Mesa, AZ. The NPI Number for Evergreen Mesa Christian, L.l.c. is 1114975810 and holds a License No. NCI-2629 (Arizona).

The current practice location address for Evergreen Mesa Christian, L.l.c. is 255 W Brown Rd, Mesa, AZ and can be reached out via phone at 480-833-3988 and via fax at 480-833-7122.

Location: 255 W Brown Rd, Mesa, AZ, 98662-6729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114975810
Provider Name
Evergreen Mesa Christian, L.l.c.
Credential
Provider Entity Type
Organization
Address
255 W Brown Rd, Mesa, AZ, 98662-6729
Phone Number
480-833-3988
Fax Number
480-833-7122
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
748791 05 AZ
institution
Provider Business Practice Location Address Details
Address
255 W Brown Rd
City
Mesa
State
Arizona
Zip
85201-3404
Phone Number
480-833-3988
Fax Number
480-833-7122
person
Provider Business Mailing Address Details
Address
255 W Brown Rd
City
Mesa
State
Arizona
Zip
85201-3404
Phone Number
480-833-3988
Fax Number
480-833-7122
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
NCI-2629 (Arizona)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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