MRSC Az Mesa Master Tenant, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10068C Issued in AZ

Legal business name

MRSC AZ MESA MASTER TENANT, LLC

Practice address

537 S Higley Rd BLDG 1
Mesa, AZ 85206-2148

Phone

(480) 247-9880

NPI assigned

Aug 4, 2016

Organization subpart

No

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

Authorized official

Name

Gary Langendoen

Title

Co-Manager

Phone

(626) 796-8700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Visions Senior Living at Mesa 1 Doing business as

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

CLIA laboratory certificates

Tax ID family

MRSC Az Mesa Master Tenant 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.

• MRSC Az Mesa Master Tenant, LLC

  • Assisted Living Facility
  • Mesa, AZ
  • NPI 1053869123
  NPD tax ID

Locations

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1497209647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 S HIGLEY RD BLDG 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062148",
            "telephone_number": "480-247-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 S HIGLEY RD BLDG 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062148",
            "telephone_number": "480-247-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRSC AZ MESA MASTER TENANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "LANGENDOEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CO-MANAGER",
        "authorized_official_telephone_number": "626-796-8700"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL10068C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149133",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149278",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visions Senior Living at Mesa 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Edith Wakasa Msafiri, LAAC
• MSK Center of Mesa
• Msmancina Associates Arizona, PLLC

• Assisted Living Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.