Christian Care Mesa, Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

CHRISTIAN CARE MESA, INC.

Practice address

6945 E Main St BLDG 5
Mesa, AZ 85207-8206

Phone

(480) 861-0340

Fax

(480) 218-2601

NPI assigned

Mar 25, 2022

Organization subpart

No

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

Authorized official

Name

Jon Scott Williams

Title

Executive Director

Phone

(480) 861-0340

Specialties & licenses 1

Addresses

Other names 1

• Fellowship Square-Mesa Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1083364665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6945 E MAIN ST BLDG 5",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852078206",
            "telephone_number": "480-861-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6945 E MAIN ST BLDG 5",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852078206",
            "telephone_number": "480-861-0340",
            "fax_number": "480-218-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CARE MESA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JON SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "480-861-0340"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fellowship Square-Mesa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leo B Christensen, DDS
• Lucas Christensen, P.T.
• Patrick D. Christensen, D.M.D.
• Tasha Christenson
• Christian Care Management II, Inc.
• Christian Care Nursing Center, Inc.
• Christian Housing-Mesa, Inc.
• Christian3 Mega Clinic LLC
• Daniel Joseph Christiano Jr., PH.D.
• Doris Ann Christiansen, RN, IBCLC, RLC

• Assisted Living Facility (Mental Illness) in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Assisted Living Facility (Mental Illness) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.