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CITADEL POST ACUTE
NPI 1063880243
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Mesa, AZ

Active since September 04, 2015CLIA 03D0641906 · Waiver
5121 E BROADWAY RD, MESA, AZ 85206(480) 832-5555(480) 924-0090 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Citadel Post Acute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CITADEL POST ACUTE (NPI 1063880243) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Mesa, Arizona and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Soon Burnam, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1063880243
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameHIGLEY HEALTHCARE, INC.
Location Address5121 E BROADWAY RDMesa, AZ 85206-1308
Mailing Address5121 E Broadway RdMesa, AZ 85206-1308 · (480) 832-5555 · Fax (480) 924-0090
Phone(480) 832-5555
Fax(480) 924-0090
Organization SubpartNo
Authorized OfficialSoon BurnamTreasurer · (949) 487-9500
Enumeration DateSeptember 4, 2015
Last NPPES UpdateSeptember 16, 2015
✔ NPI 1063880243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Taxonomy Code261QR0401X
License✔ Licensed in AZ · OTC7209
5121 E BROADWAY RD, Mesa, AZ 85206
Open in Google Maps ↗

Other Names 1

Doing Business AsCitadel Post Acute

Other Identifiers 1

Medicare OSCAR/certification035103AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D0641906

Citadel Post Acute · Mesa, AZ
Active · expires Aug 31, 2026
CLIA Number03D0641906
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorHarish Nandipati
Laboratory Phone(602) 344-5011
Laboratory LocationCitadel Post Acute5121 E Broadway Rd, Mesa, AZ 85206
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INDIA BLAKELY
Occupational Therapist
5121 E BROADWAY RD
MESA, AZ 85206
Maricopa County (334) 722-0049
LIFE CARE CENTERS OF AMERICA, INC.
Clinic/Center (Rehabilitation)
5121 E BROADWAY RD
MESA, AZ 85206
Maricopa County (480) 832-5555
LIFE CARE CENTERS OF AMERICA, INC.
Skilled Nursing Facility
5121 E BROADWAY RD
MESA, AZ 85206
Maricopa County (480) 832-5555
AMY ELIZABETH MOORE
Physical Therapist
5121 E BROADWAY RD
MESA, AZ 85206
Maricopa County (480) 296-2680
VIDYA SUJAL BHAT
Physical Therapist
5121 E BROADWAY RD
MESA, AZ 85206
Maricopa County (480) 832-5555
HIGLEY HEALTHCARE, INC.
Skilled Nursing Facility
5121 E BROADWAY RD
MESA, AZ 85206
Maricopa County (480) 832-5555
GREGORY NOGA PTA
Physical Therapy Assistant
5121 E BROADWAY RD
MESA, AZ 85206
Maricopa County (480) 832-5555
SUSAN CESTARO-SMITH P.T.
Skilled Nursing Facility
5121 E BROADWAY RD
MESA, AZ 85206
Maricopa County (480) 832-5555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Higley Healthcare, Inc.'s NPI number?

The NPI number for Higley Healthcare, Inc. is 1063880243. It was assigned to this organization in the NPPES registry on September 4, 2015. The provider is doing business as Citadel Post Acute.

Where is Higley Healthcare, Inc. located?

Higley Healthcare, Inc. is located at 5121 E Broadway Rd, Mesa, AZ 85206. The listed phone number is (480) 832-5555.

What is Higley Healthcare, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

Does Higley Healthcare, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0641906) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Higley Healthcare, Inc. accept?

Health plans from Blue Cross Blue Shield of Arizona list Higley Healthcare, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Higley Healthcare, Inc. was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.