Organization Active NPI

New Edge Comfort Housing LLC

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Mesa, AZ
National Provider Identifier
1417649997
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
Legal business name
NEW EDGE COMFORT HOUSING LLC
Practice address
9357 E Adobe Rd
Mesa, AZ 85207-5219
Phone
(480) 414-8165
NPI assigned
May 23, 2023
Last updated
May 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
William Jeff Mandly
Title
Manager
Phone
(480) 414-8165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X Primary

Addresses

Primary practice location

9357 E Adobe Rd
Mesa, AZ 85207-5219

Mailing address

9357 E Adobe Rd
Mesa, AZ 85207-5219
Phone (480) 414-8165

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1417649997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9357 E ADOBE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852075219",
            "telephone_number": "480-414-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9357 E ADOBE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852075219",
            "telephone_number": "480-414-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW EDGE COMFORT HOUSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "MANDLY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JEFF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-414-8165"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 23, 2023; 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.