Christian Care Management II, Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

CHRISTIAN CARE MANAGEMENT II, INC.

Doing business as

Reflections at Fellowship Square-Mesa

Practice address

159 S. Power Road
Mesa, AZ 85206

Phone

(480) 654-1800

Fax

(480) 218-2617

NPI assigned

Apr 8, 2022

Organization subpart

No

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

Authorized official

Name

Tawnya Christensen

Title

Assisted Living Director

Phone

(480) 654-1800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Reflections at Fellowship Square-Mesa Doing business as

Locations

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1437891678",
    "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": "480-654-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 S. POWER ROAD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-654-1800",
            "fax_number": "480-218-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CARE MANAGEMENT II, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "TAWNYA",
        "authorized_official_title_or_position": "ASSISTED LIVING DIRECTOR",
        "authorized_official_telephone_number": "480-654-1800"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078539",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reflections at Fellowship Square-Mesa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey M Christensen, MSPT
• Leo B Christensen, DDS
• Lucas Christensen, P.T.
• Patrick D. Christensen, D.M.D.
• Tasha Christenson
• Christian Care Mesa, Inc. (Fellowship Square-Mesa)
• Christian Care Nursing Center, Inc. (Historic Mesa Outpatient Rehab Clinic)
• Christian Housing-Mesa, Inc. (Christian Care Manor IV)
• Christian3 Mega Clinic LLC
• Daniel Joseph Christiano Jr., PH.D.

• 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 Apr 8, 2022; 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.