MESA CHRISTIAN RESIDENTIAL CARE CENTER
NPI 1093914004
Assisted Living Facility in Mesa, AZ

Q: What is Evergreen At Mesa (alf), L.L.C.'s NPI number?

The NPI number for Evergreen At Mesa (alf), L.L.C. is 1093914004. It was assigned to this organization in the NPPES registry on July 11, 2007. The provider is doing business as Mesa Christian Residential Care Center.

Q: What is Evergreen At Mesa (alf), L.L.C.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since July 11, 2007

215 W BROWN RD, MESA, AZ 85201(480) 668-6118(480) 461-1552 Get Directions Write a Review

NPPES record last updated: July 11, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mesa Christian Residential Care Center NPPES

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

MESA CHRISTIAN RESIDENTIAL CARE CENTER (NPI 1093914004) is a healthcare organization registered as an assisted living facility in Mesa, Arizona and active in the NPI registry since July 2007. The organization lists Anne Nipp, Manager, as its authorized official.

NPPES Registry Identity

NPI1093914004

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameEVERGREEN AT MESA (ALF), L.L.C.

Location Address215 W BROWN RDMesa, AZ 85201-3415

Mailing Address215 W Brown RdMesa, AZ 85201-3415 · (480) 668-6118 · Fax (480) 461-1552

Phone(480) 668-6118

Fax(480) 461-1552

Organization SubpartNo

Authorized OfficialAnne NippManager · (360) 892-6618

Enumeration DateJuly 11, 2007

✔ NPI 1093914004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in AZ · ALC-5063

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

215 W BROWN RD, Mesa, AZ 85201

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Other Names 1

Doing Business AsMesa Christian Residential Care Center

Other Identifiers 1

Medicaid937427AZ

Other Providers at the Same Location NPPES 3

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

215 WEST BROWN ROAD OPERATIONS LLC

Assisted Living Facility

215 W BROWN RD
MESA, AZ 85201

Maricopa County (480) 461-1552

PINNACLE HEALTH FACILITIES XXVI LP

Assisted Living Facility

215 W BROWN RD
MESA, AZ 85201

Maricopa County (480) 668-6118

PINNACLE HEALTH FACILITIES XXVI LP

Custodial Care Facility (Adult Care Home)

215 W BROWN RD
MESA, AZ 85201

Maricopa County (480) 668-6118

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 Evergreen At Mesa (alf), L.L.C.'s NPI number?

The NPI number for Evergreen At Mesa (alf), L.L.C. is 1093914004. It was assigned to this organization in the NPPES registry on July 11, 2007. The provider is doing business as Mesa Christian Residential Care Center.

Where is Evergreen At Mesa (alf), L.L.C. located?

Evergreen At Mesa (alf), L.L.C. is located at 215 W Brown Rd, Mesa, AZ 85201. The listed phone number is (480) 668-6118.

What is Evergreen At Mesa (alf), L.L.C.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Evergreen At Mesa (alf), L.L.C. was last updated on July 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.