Individual provider Active NPI

Jean Ann Schaner

  • Assisted Living Facility
  • Mesa, AZ
National Provider Identifier
1669190104
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Practice address
10664 E Hawk Ave
Mesa, AZ 85212-8003
Phone
(480) 452-4409
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

10664 E Hawk Ave
Mesa, AZ 85212-8003

Mailing address

9942 E Rubidium Ave
Mesa, AZ 85212-8947
Phone (480) 452-4409

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL MESA Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serenitas LLC Assisted Living Facility Current Accepting new patients
Mountain View Carehome Assisted Living Facility Current Accepting new patients
Twilight Haven Mesa LLC Assisted Living Facility CurrentSince Sep 11, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1669190104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9942 E RUBIDIUM AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852128947",
            "telephone_number": "480-452-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10664 E HAWK AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852128003",
            "telephone_number": "480-452-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHANER",
        "first_name": "JEAN ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MESA",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10664 E Hawk Ave",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852128003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 19, 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.