HIGLEY HEALTHCARE, INC.


Address: 5121 E Broadway Rd, Mesa, AZ 85206-1308
Phone: 4808325555

HIGLEY HEALTHCARE, INC. (NPI# 1063880243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063880243
Entity Type Organization
Organization Name HIGLEY HEALTHCARE, INC.
Other Organization Name CITADEL POST ACUTE
Practice Address 5121 E Broadway Rd
Mesa
AZ 85206-1308
Practice Telephone 4808325555
Practice Fax Number 4809240090
Mailing Telephone 4808325555
Mailing Fax Number 4809240090
Enumeration Date 2015-09-04
Last Update Date 2015-09-16
Authorized Official Name SOON BURNAM (TREASURER)
Authorized Official Telephone 9494879500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0401X Clinic/Center
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
OTC7209 AZ Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Citadel Post Acute Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1568842854 Higley Healthcare, Inc. Skilled Nursing Facility 5121 E Broadway Rd, Mesa, AZ 85206-1308 2015-06-02

Office Location

Street Address 5121 E BROADWAY RD
City MESA
State AZ
Zip Code 85206-1308

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316993793 Life Care Centers of America, Inc. Skilled Nursing Facility 5121 E Broadway Rd, Mesa, AZ 85206-1308 2006-05-26
1497269427 Vidya Sujal Bhat Physical Therapist 5121 E Broadway Rd, Mesa, AZ 85206-1308 2017-11-29
1568842854 Higley Healthcare, Inc. Skilled Nursing Facility 5121 E Broadway Rd, Mesa, AZ 85206-1308 2015-06-02
1114256369 Life Care Centers of America, Inc. Clinic/Center 5121 E Broadway Rd, Mesa, AZ 85206-1308 2009-12-17
1780811679 Susan Cestaro-smith Skilled Nursing Facility 5121 E Broadway Rd, Mesa, AZ 85206-1308 2009-06-17
1760631485 Randee Marie Rohn Occupational Therapist 5121 E Broadway Rd, Mesa, AZ 85206-1308 2008-09-18
1427246016 Amy Elizabeth Thiele Physical Therapist 5121 E Broadway Rd, Mesa, AZ 85206-1308 2007-10-09
1649393141 Gregory Noga Physical Therapy Assistant 5121 E Broadway Rd, Mesa, AZ 85206-1308 2007-04-09

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NPI Name Taxonomy Address Enumeration
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1023651288 Jason Mcclure Hearing Instrument Specialist 5540 E Broadway Rd., Mesa, AZ 85206 2019-10-21
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1033605159 Rebecca Ann Maro Nurse Practitioner 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 2018-07-02
1982195624 Spark Performance and Physiotherapy Clinic/Center 6056 East Basline Road, Suite 147, Mesa, AZ 85206 2018-05-29
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Taxonomy Information

Taxonomy Code 261QR0401X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1528138393 Genesis Physical Therapy, LLC Clinic/Center 6343 E Main St, Suite 8, Mesa, AZ 85205-8954 2006-11-09
1053368589 Mesa Health Improvement Center, LLC Clinic/Center 6343 E Main St, Suite 8, Mesa, AZ 85205-8954 2006-05-29

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1073734075 Toyei Industries Incorporated Clinic/Center Tselanicottonwood Chapter 15 Navajo Rt 4, Chinle, AZ 86503-8650 2007-05-01
1326091455 Advanced Medical Therapy, LLC Clinic/Center 15640 North 7th Street, Ste 6, Phoenix, AZ 85022 2006-05-18
1104827963 La Posada At Park Centre Inc Clinic/Center 700 S La Posada Cir, Green Valley, AZ 85614-5100 2005-08-02
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Competitor

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City MESA
Zip Code 85206

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Dataset Information

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.

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