Organization Active NPI

Rebound Health and Wellness Center LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Tempe, AZ
National Provider Identifier
1649972480
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
REBOUND HEALTH AND WELLNESS CENTER LLC
Practice address
1839 E Broadmor Dr
Tempe, AZ 85282-2804
Phone
(559) 312-3377
NPI assigned
Mar 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Authorized official

Name
Myisha Annalisa PondexterNPI 1710135421
Title
Member
Phone
(559) 312-3377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary

Addresses

Primary practice location

1839 E Broadmor Dr
Tempe, AZ 85282-2804

Mailing address

4960 S Gilbert Rd Ste 1-481
Chandler, AZ 85249-6019
Phone (559) 312-3377

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1649972480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 S GILBERT RD STE 1-481",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852496019",
            "telephone_number": "559-312-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 E BROADMOR DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822804",
            "telephone_number": "559-312-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOUND HEALTH AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "PONDEXTER",
        "authorized_official_first_name": "MYISHA",
        "authorized_official_middle_name": "ANNALISA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "559-312-3377"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.