<Unavail>

LBN: Mrsc Az Mesa Master Tenant, Llc
<Unavail> is an health care organization with primary practice located at 537 S Higley Rd Bldg 1 , Mesa AZ 85206-2148. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Mrsc Az Mesa Master Tenant, Llc can be contacted via phone (480) 247-9880, or through Langendoen, Gary via phone (626) 796-8700.

Contact Information

Primary practice address
537 S Higley Rd Bldg 1 Mesa AZ 85206-2148
Phone: (480) 247-9880
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Langendoen, Gary
Phone: (626) 796-8700

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL10068C Arizona

Profile Details

NPI number 1497209647
LBN Legal business name Mrsc Az Mesa Master Tenant, Llc
DBA Doing business as <Unavail>
Authorized official Langendoen, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2016
Last updated Feb 5th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497209647 NPPES
Arizona MEDICAID 149133
Arizona MEDICAID 149278

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