LIFE CARE CENTERS OF AMERICA, INC. (NPI# 1114256369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114256369 |
| Entity Type | Organization |
| Organization Name | LIFE CARE CENTERS OF AMERICA, INC. |
| Other Organization Name | CITADEL CARE CENTER THERAPY |
| Practice Address |
5121 E Broadway Rd Mesa AZ 85206-1308 |
| Mailing Address |
3001 Keith St Nw Cleveland TN 37312-3713 |
| Practice Telephone | 4808325555 |
| Practice Fax Number | 4809240090 |
| Mailing Telephone | 4234735751 |
| Mailing Fax Number | 4233398342 |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |
| Authorized Official Name | CINDY CROSS (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 4234735867 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
OTC1471 | AZ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Citadel Care Center Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750448437 | Life Care Centers of America, Inc. | Respite Care | 1625 Carr St, Lakewood, CO 80214-5926 | 2007-01-02 |
| 1083771679 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 1990 W Loucks St, Sheridan, WY 82801-4500 | 2007-01-02 |
| 1467540070 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 4041 S Poplar St, Casper, WY 82601-5928 | 2006-10-10 |
| 1467461103 | Life Care Centers of America, Inc. | Respite Care | 530 W 16th St, Salida, CO 81201-2240 | 2006-08-05 |
| 1164440103 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 1510 Cypress Gardens Boulevard, Winter Haven, FL 33884 | 2006-07-17 |
| 1356367700 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 8104 Tuttle Ave, Sarasota, FL 34243-2885 | 2006-07-15 |
| 1235155680 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 355 Crossing Blvd, Orange Park, FL 32073-2860 | 2006-07-15 |
| 1497771836 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 3720 Se Jennings Rd, Port St Lucie, FL 34952-7701 | 2006-07-15 |
| 1417973389 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 2800 Sw 41st St, Ocala, FL 34474-4454 | 2006-07-14 |
| 1427083799 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 501 W Economy Rd, Morristown, TN 37814-3222 | 2006-07-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | LIFE CARE CENTERS OF AMERICA, INC. | 3570 Keith St Nw, Cleveland, TN 37312 |
| Connecticut Business Registrations | LIFE CARE CENTERS OF AMERICA, INC. | 114 South Main St, Bel Air, MD 21014 |
| Washington State Corporations | LIFE CARE CENTERS OF AMERICA, INC. | 3570 Keith St Nw, Cleveland, TN 37312-4309 |
| Oregon Corporations, Companies and Business Names | LIFE CARE CENTERS OF AMERICA, INC. | 3570 Keith Street Nw, Cleveland, TN 37311 |
| Massachusetts Corporations | LIFE CARE CENTERS OF AMERICA, INC. | 3570 Keith St.,n.w., Cleveland, TN 37312 |
| Street Address |
5121 E BROADWAY RD |
| City | MESA |
| State | AZ |
| Zip Code | 85206-1308 |
| 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 |
| 1063880243 | Higley Healthcare, Inc. | Clinic/Center | 5121 E Broadway Rd, Mesa, AZ 85206-1308 | 2015-09-04 |
| 1568842854 | Higley Healthcare, Inc. | Skilled Nursing Facility | 5121 E Broadway Rd, Mesa, AZ 85206-1308 | 2015-06-02 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 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 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030732 | Bhsm Rehabilitation, LLC | Clinic/Center | 1309 N Greenfield Rd Ste 102, Mesa, AZ 85205-4009 | 2020-07-09 |
| 1316462369 | Bhsm Rehabilitation, LLC | Clinic/Center | 1255 W Baseline Rd Ste 140, Mesa, AZ 85202-5821 | 2017-08-11 |
| 1871998799 | Christian Care Nursing Center, Inc. | Clinic/Center | 155 W Brown Rd, Mesa, AZ 85201-3427 | 2014-11-04 |
| 1871060020 | Bhsm Rehabilitation, LLC | Clinic/Center | 2225 W Southern Ave Bldg 1300, Mesa, AZ 85202-4716 | 2018-10-25 |
| 1306361357 | Bhsm Rehabilitation, LLC | Clinic/Center | 10165 E Hampton Ave Ste 111, Mesa, AZ 85209-3327 | 2017-08-11 |
| 1902208416 | Brain Performance Centers, LLC | Clinic/Center | 6840 E Brown Rd Ste 104, Mesa, AZ 85207-3759 | 2014-09-16 |
| 1861721847 | Mesa United Medical Investors, Lp | Clinic/Center | 330 S Pinnule Cir, Mesa, AZ 85206-1636 | 2009-12-21 |
| 1770738056 | Balance Basics, LLC | Clinic/Center | 4360 E Main St, Suite 103, Mesa, AZ 85205-8638 | 2008-11-30 |
| 1366616336 | Rehab Arizona LLC | Clinic/Center | 303 N Centennial Way, Mesa, AZ 85201-6733 | 2008-04-21 |
| 1851359145 | Rehab Arizona Neuro Rehabilitation, LLC | Clinic/Center | 2919 S Ellsworth Rd, Ste 111, Mesa, AZ 85212-2144 | 2006-05-03 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on LIFE CARE CENTERS OF AMERICA, INC..
| 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.