NPIMap

Organization Active NPI

Higley Healthcare, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Mesa, AZ
National Provider Identifier
1063880243
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
OTC7209 Issued in AZ
Legal business name
HIGLEY HEALTHCARE, INC.
Practice address
5121 E Broadway Rd
Mesa, AZ 85206-1308
Phone
(480) 832-5555
Fax
(480) 924-0090
NPI assigned
Sep 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 487-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X OTC7209 AZ Primary

Addresses

Primary practice location

5121 E Broadway Rd
Mesa, AZ 85206-1308

Mailing address

5121 E Broadway Rd
Mesa, AZ 85206-1308
Phone (480) 832-5555

Other names 1

  • Citadel Post Acute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Citadel Post Acute2 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": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1063880243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061308",
            "telephone_number": "480-832-5555",
            "fax_number": "480-924-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061308",
            "telephone_number": "480-832-5555",
            "fax_number": "480-924-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGLEY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-487-9500"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "AZ",
            "license": "OTC7209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citadel Post Acute",
            "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 Sep 16, 2015; 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.