Hearthstone Hospital Mesa

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SH 4388 Issued in AZ

Legal business name

HEARTHSTONE HOSPITAL MESA

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

Oct 13, 2005

Last updated

Jan 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara Ann Maher

Title

Director of Financial Services

Phone

(480) 329-2877

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• TRILLIUM SPECIALTY HOSPITAL EAST VALLEY Doing business as

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1245228170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "MAHER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCIAL SERVICES",
        "authorized_official_telephone_number": "480-329-2877",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "AZ",
            "license": "SH 4388",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI 386",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "SH 4388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "03-2007",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "645898",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRILLIUM SPECIALTY HOSPITAL EAST VALLEY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.