Springdale Village, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALC-4861 Issued in AZ

Legal business name

SPRINGDALE VILLAGE, INC.

Practice address

7255 E. Broadway Rd.
Mesa, AZ 85208-9201

Phone

(480) 981-8844

Fax

(480) 981-6998

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Linda L Carlson

Title

Chief Executive Officer

Phone

(480) 981-8844

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760577993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7255 E. BROADWAY RD.",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85208",
            "telephone_number": "480-981-8844",
            "fax_number": "480-981-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 E. BROADWAY RD.",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852089201",
            "telephone_number": "480-981-8844",
            "fax_number": "480-981-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGDALE VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "480-981-8844"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALC-4861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "527319",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beau Sprague
• David Edward Spring, D.D.S.
• Springboard Counseling Services, LLC
• Springdale SNF Healthcare LLC
• Springdale Village, Inc.
• Joy Springer, OT
• Lindsay Springer, D.M.D.
• Jonathon Paul Sprintz, D.C.
• Kori Lynn Sprintz, D.C., F.I.A.M.A
• Jamie Sprout

• 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 Aug 22, 2020; 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.