Active NPI
M E D Services
- Adult Care Home Facility
- Mesa, AZ
National Provider Identifier
1003081860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- ALH4645
- Legal business name
- M E D SERVICES
- Practice address
- 3759 E Clovis Ave
Mesa, AZ 85206-1841 - Phone
- (480) 325-3890
- Fax
- (480) 986-1544
- NPI assigned
- Apr 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Donald Edward Stinson
- Title
- Co-Owner / Manager
- Phone
- (480) 654-4563
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | ALH4645 | AZ | Primary |
Addresses
Primary practice location
3759 E Clovis Ave
Mesa, AZ 85206-1841
Mailing address
3759 E Clovis Ave
Mesa, AZ 85206-1841
Phone (480) 325-3890
Other names 1
- Morning Glory Adult Care Homes
National Provider Directory
National Provider Directory- Tax ID family
- M E D Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Care Home Facility
- Mesa, AZ
- NPI 1609041458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208908800000",
"number": "1003081860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3759 E CLOVIS AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852061841",
"telephone_number": "480-325-3890",
"fax_number": "480-986-1544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3759 E CLOVIS AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852061841",
"telephone_number": "480-325-3890",
"fax_number": "480-986-1544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M E D SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-23",
"last_updated": "2008-04-23",
"status": "A",
"authorized_official_last_name": "STINSON",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "CO-OWNER / MANAGER",
"authorized_official_telephone_number": "480-654-4563",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "AZ",
"license": "ALH4645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Morning Glory Adult Care Homes",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.