Active NPI
Enrose Estates Assisted Living
- Assisted Living Facility
- Mesa, AZ
National Provider Identifier
1790953073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AHA-6073
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.