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Evergreen At Mesa, L.l.c.
Skilled Nursing Facility in Mesa, Arizona
NPI 1275581951

Evergreen At Mesa, L.l.c. is a Skilled Nursing Facility based in Vancouver, AZ. Evergreen At Mesa, L.l.c. practices in Mesa, AZ. The NPI Number for Evergreen At Mesa, L.l.c. is 1275581951 and holds a License No. NCA-2627 (Arizona).

The current practice location address for Evergreen At Mesa, L.l.c. is 6458 E Broadway Rd, Mesa, AZ and can be reached out via phone at 480-832-5160 and via fax at 480-854-7046.

Location: 6458 E Broadway Rd, Mesa, AZ, 98662-6729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275581951
Provider Name
Evergreen At Mesa, L.l.c.
Credential
Provider Entity Type
Organization
Address
6458 E Broadway Rd, Mesa, AZ, 98662-6729
Phone Number
480-832-5160
Fax Number
480-854-7046
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
748767 05 AZ
institution
Provider Business Practice Location Address Details
Address
6458 E Broadway Rd
City
Mesa
State
Arizona
Zip
85206-1727
Phone Number
480-832-5160
Fax Number
480-854-7046
person
Provider Business Mailing Address Details
Address
6458 E Broadway Rd
City
Mesa
State
Arizona
Zip
85206-1727
Phone Number
480-832-5160
Fax Number
480-854-7046
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
NCA-2627 (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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