Organization Active NPI

Ahc of Mesa LLC

Doing business as Advanced Health Care of Mesa

  • Skilled Nursing Facility
  • Mesa, AZ
National Provider Identifier
1295768620
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AHC OF MESA LLC
Doing business as
Advanced Health Care of Mesa
Practice address
5755 E Main St
Mesa, AZ 85205-8814
Phone
(480) 214-2400
Fax
(480) 214-2450
NPI assigned
Jul 9, 2006
Last updated
Sep 15, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW AHC HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Nathan Oxnam
Title
President
Phone
(385) 622-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5755 E Main St
Mesa, AZ 85205-8814

Mailing address

5755 E Main St
Mesa, AZ 85205-8814
Phone (480) 214-2400

Other names 1

  • Advanced Health Care of Mesa Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060324000390 AZ Part A Provider - Skilled Nursing Facility 5395753891 Practice locations: Mesa, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295768620. Details of each certification follow.

Skilled nursing facility certification: CCN 035266

Legal name
AHC OF MESA LLC
Doing business as
ADVANCED HEALTH CARE OF MESA
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Apr 26, 2006
Last certification
Oct 18, 2024
Beds
38
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Advanced Health Care Corporation
Organization structure
LLCProprietary
Incorporated
Feb 1, 2005 in UT
Enrollment address
5755 East Main Street
Mesa, AZ 85205-8814
Nursing home name
ADVANCED HEALTHCARE OF MESA
Affiliated entity
ADVANCED HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Advanced Healthcare of MesaCCN 035266 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
For profit - Limited Liability company
Certified
Apr 26, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3836.5 residents per day on average
Chain
Advanced Health Care26 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1051049Ahc of Mesa LLC5755 E Main St, Mesa, AZ 85205Certificate of waiverFeb 20, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Karen Gail Miller Irrev TR Fbo Zane Miller Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Jan 1, 2024 5.1%
The Karen Gail Miller Irrevocable Trust for the Benefit of Stephen F. Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Jan 1, 2024 5.1%
Dheeraj K Bobba Individual Adp of the SNF Apr 28, 2025
The Karen Gail Miller Irrevocable Trust for the Benefit of Roger L. Mi Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Jan 1, 2024 5.1%
Advanced Health Care - Larry H Miller Corporation Organization, Sandy, UT Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2021 100%
Lisa Harrison Individual Operational/Managerial Control Apr 21, 2014
Adp of the SNF Apr 29, 2025
New Ahc Holdings, LLC Organization, Sandy, UT Created for acquisition, LLC, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2021 100%
Adp of the SNF Jan 1, 2021
Lhmsh LLC Organization, Sandy, UT LLC, For-profit Adp of the SNF Jan 1, 2024
The Bryan Miller Utah Dynasty Trust Dated April 22, 2014 Organization, Sandy, UT Indirect Ownership Interest Jan 1, 2024 3.8%
The G&H Miller Utah Trust Dated February 26, 2019 Organization, Sandy, UT Indirect Ownership Interest Jan 1, 2024 2.5%
The Gail Miller GST Trust Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Jan 1, 2024 72.3%
The Karen Gail Miller Irrevocable Trust for the Benefit of Karen R. Wi Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Jan 1, 2024 5.1%
Organization, Tempe, AZ LLC, For-profit Adp of the SNF Jan 1, 2025
Organization, Boise, ID Corporation Adp of the SNF Jan 1, 2025
Nathan C Oxnam Individual Corporate OfficerPresident Jan 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 40

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 40

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1295768620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 E MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058814",
            "telephone_number": "480-214-2400",
            "fax_number": "480-214-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 E MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058814",
            "telephone_number": "480-214-2400",
            "fax_number": "480-214-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHC OF MESA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW AHC HOLDINGS LLC",
        "enumeration_date": "2006-07-09",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "OXNAM",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "385-622-4500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Sainte Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Advanced Health Care of Mesa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.