Active NPI
Rebound Health and Wellness Center LLC
- Assisted Living Facility (Behavioral Disturbances)
- Tempe, AZ
National Provider Identifier
1649972480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Myisha Annalisa Pondexter
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Fresno, CA
- NPI 1710135421
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.