Organization Active NPI

Enrose Estates Assisted Living

  • Assisted Living Facility
  • Mesa, AZ
National Provider Identifier
1790953073
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AHA-6073 Issued in AZ
Legal business name
ENROSE ESTATES ASSISTED LIVING
Practice address
2509 E Enrose St
Mesa, AZ 85213-6042
Phone
(480) 612-3339
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Marguerite B. Brannigan, RN,CHPN
Title
Owner/Manager
Phone
(480) 615-3339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AHA-6073 AZ Primary

Addresses

Primary practice location

2509 E Enrose St
Mesa, AZ 85213-6042

Mailing address

2509 E. Enrose Street
Mesa, AZ 85213
Phone (480) 612-3339

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1790953073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 E. ENROSE STREET",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85213",
            "telephone_number": "480-612-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 E ENROSE ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852136042",
            "telephone_number": "480-612-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENROSE ESTATES ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "BRANNIGAN",
        "authorized_official_first_name": "MARGUERITE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "480-615-3339",
        "authorized_official_credential": "RN,CHPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AHA-6073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 20, 2008; 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.