CHRISTIAN CARE MESA, INC.
NPI 1083364665
Assisted Living Facility - Assisted Living, Mental Illness in Mesa, AZ

Q: What is Christian Care Mesa, Inc.'s NPI number?

The NPI number for Christian Care Mesa, Inc. is 1083364665. It was assigned to this organization in the NPPES registry on March 25, 2022. The provider is doing business as Fellowship Square-Mesa.

Q: What is Christian Care Mesa, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since March 25, 2022

6945 E MAIN ST BLDG 5, MESA, AZ 85207(480) 861-0340(480) 218-2601 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Christian Care Mesa, Inc. NPPES

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

CHRISTIAN CARE MESA, INC. (NPI 1083364665), doing business as Fellowship Square-mesa, is a healthcare organization registered as an assisted living, mental illness in Mesa, Arizona and active in the NPI registry since March 2022. The organization lists Jon Scott Williams, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1083364665

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameCHRISTIAN CARE MESA, INC.

Location Address6945 E MAIN ST BLDG 5Mesa, AZ 85207-8206

Mailing Address6945 E Main St Bldg 5Mesa, AZ 85207-8206 · (480) 861-0340

Phone(480) 861-0340

Fax(480) 218-2601

Organization SubpartNo

Authorized OfficialJon Scott WilliamsExecutive Director · (480) 861-0340

Enumeration DateMarch 25, 2022

NPPES CertifiedMarch 25, 2022

✔ NPI 1083364665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

6945 E MAIN ST BLDG 5, Mesa, AZ 85207

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Other Names 1

Doing Business AsFellowship Square-mesa

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 Christian Care Mesa, Inc.'s NPI number?

The NPI number for Christian Care Mesa, Inc. is 1083364665. It was assigned to this organization in the NPPES registry on March 25, 2022. The provider is doing business as Fellowship Square-Mesa.

Where is Christian Care Mesa, Inc. located?

Christian Care Mesa, Inc. is located at 6945 E Main St Bldg 5, Mesa, AZ 85207. The listed phone number is (480) 861-0340.

What is Christian Care Mesa, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Christian Care Mesa, Inc. was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.