Organization Active NPI

Restora Hospital of Mesa, LLC

  • Long Term Care Hospital
  • Mesa, AZ
National Provider Identifier
1487914727
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
RESTORA HOSPITAL OF MESA, LLC
Practice address
215 S Power Rd
Mesa, AZ 85206-5235
Phone
(770) 821-6240
NPI assigned
May 21, 2012
Organization subpart
Yes
Parent organization
RESTORA HEALTHCARE COMPANY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Authorized official

Name
James Rodney Laughlin
Title
Ceo & President
Phone
(770) 821-6225

Specialties & licenses 1

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

Addresses

Primary practice location

215 S Power Rd
Mesa, AZ 85206-5235

Mailing address

6120 Windward Pkwy
Suite 165
Alpharetta, GA 30005-8809
Phone (770) 821-6240

National Provider Directory

National Provider Directory
Tax ID family
Restora Hospital of 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": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1487914727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 WINDWARD PKWY",
            "address_2": "SUITE 165",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300058809",
            "telephone_number": "770-821-6240"
        },
        {
            "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": "770-821-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORA HOSPITAL OF MESA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESTORA HEALTHCARE COMPANY, LLC",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "LAUGHLIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RODNEY",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "770-821-6225"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "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 21, 2012; 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.