EVERGREEN MESA CHRISTIAN HEALTH AND REHABILITATION CENTER
NPI 1114975810
Skilled Nursing Facility in Mesa, AZ

Active since May 04, 2006
255 W BROWN RD, MESA, AZ 85201(480) 833-3988(480) 833-7122 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evergreen Mesa Christian Health And Rehabilitation Center NPPES

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

EVERGREEN MESA CHRISTIAN HEALTH AND REHABILITATION CENTER (NPI 1114975810) is a healthcare organization registered as a skilled nursing facility in Mesa, Arizona and active in the NPI registry since May 2006. The organization lists Andrew V. Martini, Manager, as its authorized official.

NPPES Registry Identity

NPI1114975810
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEVERGREEN MESA CHRISTIAN, L.L.C.
Location Address255 W BROWN RDMesa, AZ 85201-3404
Mailing Address4601 Ne 77th Ave, Suite 300Vancouver, WA 98662-6729 · (360) 892-6628 · Fax (360) 882-5793
Fax(480) 833-7122
Organization SubpartNo
Authorized OfficialAndrew V. MartiniManager · (360) 892-6628
Enumeration DateMay 4, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1114975810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in AZ · NCI-2629
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
255 W BROWN RD, Mesa, AZ 85201

Other Names 1

Doing Business AsEvergreen Mesa Christian Health And Rehabilitation Center

Other Identifiers 1

Medicaid748791AZ

Other Providers at the Same Location NPPES 19

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

Hospitalist
255 W BROWN RD
MESA, AZ 85201
Physical Therapy Assistant
255 W BROWN RD
MESA, AZ 85201
Skilled Nursing Facility
255 W BROWN RD
MESA, AZ 85201
Nurse Practitioner (Family)
255 W BROWN RD
MESA, AZ 85201
Internal Medicine
255 W BROWN RD
MESA, AZ 85201
Physical Therapy Assistant
255 W BROWN RD
MESA, AZ 85201
Occupational Therapy Assistant
255 W BROWN RD
MESA, AZ 85201
Physical Therapy Assistant
255 W BROWN RD
MESA, AZ 85201

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 Mesa Christian, L.L.C.'s NPI number?

The NPI number for Evergreen Mesa Christian, L.L.C. is 1114975810. It was assigned to this organization in the NPPES registry on May 4, 2006. The provider is doing business as Evergreen Mesa Christian Health And Rehabilitation Center.

Where is Evergreen Mesa Christian, L.L.C. located?

Evergreen Mesa Christian, L.L.C. is located at 255 W Brown Rd, Mesa, AZ 85201. The listed phone number is (480) 833-3988.

What is Evergreen Mesa Christian, L.L.C.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Evergreen Mesa Christian, L.L.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.