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Contact Information

HEARTHSTONE HOSPITAL - MESA, LLC
215 S POWER RD
MESA, AZ85206-5235
 Phone: 480-945-7711
 Fax: 480-945-8266
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

General Acute Care Hospital

282N00000X A0[7] Hospital-General
 

Long Term Care Hospital

282E00000X A0[7] Hospital-Long-Term (PPS excluded)
Indicates primary specialty

NPI Profile & details for HEARTHSTONE HOSPITAL - MESA, LLC

NPI # 1396872719
LBN Legal business name HEARTHSTONE HOSPITAL - MESA, LLC
Authorized official GLENN DE SOUZA - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2007
Last updated 06/29/2010 - About 16 years ago
Identifiers
AZ License # SH 4388
AZ Medicaid 363701
AZ Other 035129 MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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