Acuity Specialty Hospital of Arizona at Mesa LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ACUITY SPECIALTY HOSPITAL OF ARIZONA AT MESA LLC

Practice address

215 S Power Rd
Mesa, AZ 85206-5235

Phone

(480) 985-6992

Fax

(480) 981-8390

NPI assigned

May 8, 2012

Last updated

Aug 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Randall L Bloom

Title

Authorized Official

Phone

(816) 444-0900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1790044071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S POWER RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065235",
            "telephone_number": "480-985-6992",
            "fax_number": "480-981-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S POWER RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065235",
            "telephone_number": "480-985-6992",
            "fax_number": "480-981-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUITY SPECIALTY HOSPITAL OF ARIZONA AT MESA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "816-444-0900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.