CHRISTIAN CARE NURSING CENTER, INC. (NPI# 1871998799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871998799 |
| Entity Type | Organization |
| Organization Name | CHRISTIAN CARE NURSING CENTER, INC. |
| Other Organization Name | HISTORIC MESA OUTPATIENT REHAB CLINIC |
| Practice Address |
155 W Brown Rd Mesa AZ 85201-3427 |
| Mailing Address |
Po Box 83210 Phoenix AZ 85071-3210 |
| Practice Telephone | 4802907952 |
| Practice Fax Number | 4803982727 |
| Mailing Telephone | 6024435439 |
| Mailing Fax Number | 6024435499 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |
| Authorized Official Name | MS. KATHY LOSCHEIDER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6024435439 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
OTC5456 | AZ | Ambulatory Health Care Facilities |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
OTC5456 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ADHS LICENSE | OTC5456 | 01 |
| Other Name | Type Code |
|---|---|
| Historic Mesa Outpatient Rehab Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174928618 | Christian Care Nursing Center, Inc. | Clinic/Center | 11830 N 19th Ave, Suite 101, Phoenix, AZ 85029-3519 | 2014-10-27 |
| Street Address |
155 W BROWN RD |
| City | MESA |
| State | AZ |
| Zip Code | 85201-3427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205398195 | Helping Hands Pediatric Services LLC | Clinic/Center | 7553 E Plata Ave, Mesa, AZ 85212-9729 | 2019-04-01 |
| 1154806065 | 360 Physical Therapy LLC | Clinic/Center | 10861 E Baseline Rd Ste A-105, Mesa, AZ 85209-7921 | 2018-09-26 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1053802199 | Foothills Sports Medicine & Physical Therapy - Red Mountain LLC | Clinic/Center | 1066 N Power Rd Ste 104-105, Mesa, AZ 85205-5709 | 2018-05-24 |
| 1205370913 | Stratton Rodeo Sports Medicine | Clinic/Center | 415 S 31st St, Mesa, AZ 85204-3103 | 2016-12-14 |
| 1538543277 | Spooner Physical Therapy & Hand Rehab, PC | Clinic/Center | 7931 E Pecos Rd, Suite 104, Mesa, AZ 85212-6501 | 2015-07-13 |
| 1649608829 | Physiotherapy Associates Inc | Clinic/Center | 7001 E Williams Field Rd, Mesa, AZ 85212-6032 | 2013-10-24 |
| 1114232337 | Phusion Rehab | Clinic/Center | 2036 N Gilbert Rd, Suite 2-151, Mesa, AZ 85203-2139 | 2010-08-12 |
| 1609065192 | Massif Holding Company LLC | Clinic/Center | 5050a E University Dr, Ste 114, Mesa, AZ 85205-7208 | 2007-10-19 |
| 1699977678 | Lawrence A Bates, Pt | Clinic/Center | 2057 S Alma School Rd Ste 1, Mesa, AZ 85210-4005 | 2007-06-02 |
| 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.