Organization Active NPI

M E D Services

  • Adult Care Home Facility
  • Mesa, AZ
National Provider Identifier
1003081860
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
ALH4645 Issued in AZ
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

Updated by the provider on Apr 23, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
M E D Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.