Organization Active NPI

Cres Unity Care Home LLC

  • Community/Behavioral Health Agency
  • Mesa, AZ
National Provider Identifier
1801631403
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CRES UNITY CARE HOME LLC
Practice address
9620 E Travertine Ave
Mesa, AZ 85212-9108
Phone
(480) 745-0495
NPI assigned
Jun 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Crescentia AkumbomNPI 1073867826
Title
Facility Admin
Phone
(480) 745-0495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

9620 E Travertine Ave
Mesa, AZ 85212-9108

Mailing address

9620 E Travertine Ave
Mesa, AZ 85212-9108

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1801631403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9620 E TRAVERTINE AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852129108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9620 E TRAVERTINE AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852129108",
            "telephone_number": "480-745-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRES UNITY CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "AKUMBOM",
        "authorized_official_first_name": "CRESCENTIA",
        "authorized_official_title_or_position": "FACILITY ADMIN",
        "authorized_official_telephone_number": "480-745-0495"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Jun 26, 2024; 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.