ALLEGIANT HEALTHCARE WEST, LLC
NPI 1417407693
Skilled Nursing Facility in Mesa, AZ

Active since October 11, 2016
3130 E BROADWAY RD, MESA, AZ 85204(480) 924-7777 Get Directions Write a Review

NPPES record last updated: October 11, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Allegiant Healthcare West, Llc NPPES

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

ALLEGIANT HEALTHCARE WEST, LLC (NPI 1417407693) is a healthcare organization registered as a skilled nursing facility in Mesa, Arizona and active in the NPI registry since October 2016. The organization lists Jake Weintraub, Manager, as its authorized official.

NPPES Registry Identity

NPI1417407693
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameALLEGIANT HEALTHCARE WEST, LLC
Location Address3130 E BROADWAY RDMesa, AZ 85204-1740
Mailing Address4711 Golf Rd Ste 200Skokie, IL 60076-1236
Organization SubpartNo
Authorized OfficialJake WeintraubManager · (847) 933-9280
Enumeration DateOctober 11, 2016
NPI 1417407693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.

3130 E BROADWAY RD, Mesa, AZ 85204

Accepted 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 Compliance 03D0868991

Allegiant Healthcare West, LLC Dba Allegiant Healthcare Of Mesa · Mesa, AZ
Expired · May 28, 2026
CLIA Number03D0868991
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMay 29, 2024
Certificate Expiration DateMay 28, 2026
Laboratory DirectorRaed Suyyagh
Laboratory Phone(480) 924-7777
Laboratory LocationAllegiant Healthcare West, LLC Dba Allegiant Healthcare Of Mesa3130 E Broadway Road, Mesa, AZ 85204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 15

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

Physical Therapist
3130 E BROADWAY RD
MESA, AZ 85204
Occupational Therapist
3130 E BROADWAY RD
MESA, AZ 85204
Occupational Therapist
3130 E BROADWAY RD
MESA, AZ 85204
Occupational Therapist
3130 E BROADWAY RD
MESA, AZ 85204
Physical Therapy Assistant
3130 E BROADWAY RD
MESA, AZ 85204
Physical Therapy Assistant
3130 E BROADWAY RD
MESA, AZ 85204
Physical Therapy Assistant
3130 E BROADWAY RD
MESA, AZ 85204
Physical Therapy Assistant
3130 E BROADWAY RD
MESA, AZ 85204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417407693, enumerated as an "organization" on October 11, 2016.

The provider is located at 3130 E BROADWAY RD MESA, AZ 85204 and the phone number is (480) 924-7777.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health. Please consult your insurance carrier or call the provider to verify.