NPIMap

Organization Active NPI

Hearthstone Hospital - Mesa, LLC

Doing business as Trillium Specialty Hospital - East Valley

  • Long Term Care Hospital
  • Mesa, AZ
National Provider Identifier
1164677704
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
SH4388 Issued in AZ
Legal business name
HEARTHSTONE HOSPITAL - MESA, LLC
Doing business as
Trillium Specialty Hospital - East Valley
Practice address
215 S Power Rd
Mesa, AZ 85206-5235
Phone
(480) 985-6992
Fax
(480) 981-8390
NPI assigned
Nov 24, 2008
Last updated
Nov 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Mr. Glenn De Souza
Title
President
Phone
(480) 945-7711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X SH4388 AZ Primary

Addresses

Primary practice location

215 S Power Rd
Mesa, AZ 85206-5235

Mailing address

4440 N Civic Center PLZ
Scottsdale, AZ 85251-3513
Phone (480) 945-7711

Other names 1

  • Trillium Specialty Hospital - East Valley Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hearthstone Hospital - Mesa LLC2 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": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1164677704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 N CIVIC CENTER PLZ",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513513",
            "telephone_number": "480-945-7711",
            "fax_number": "480-945-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S POWER RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065235",
            "telephone_number": "480-985-6992",
            "fax_number": "480-981-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTHSTONE HOSPITAL - MESA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "DE SOUZA",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-945-7711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "AZ",
            "license": "SH4388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trillium Specialty Hospital - East Valley",
            "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 Nov 24, 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.