COMFORT HAVEN OF MESA
NPI 1629198858
Residential Treatment Facility, Physical Disabilities in Mesa, AZ

Active since March 30, 2007
758 S TOLTEC, MESA, AZ 85204(480) 461-8272(480) 461-4682 Get Directions Write a Review

NPPES record last updated: August 1, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Comfort Haven Of Mesa NPPES

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

COMFORT HAVEN OF MESA (NPI 1629198858) is a healthcare organization registered as a residential treatment facility, physical disabilities in Mesa, Arizona and active in the NPI registry since March 2007. The organization lists Steven James Tharalson, Director, as its authorized official.

NPPES Registry Identity

NPI1629198858
Entity TypeOrganization
Primary Taxonomy320700000X
Legal Business NameACTIVE ASSISTED LIVING, LLC
Location Address758 S TOLTECMesa, AZ 85204-3642
Mailing Address1235 S Gilbert Rd, Ste 3, Pmb 83Mesa, AZ 85204-6005 · (480) 461-8272 · Fax (480) 461-4682
Fax(480) 461-4682
Organization SubpartNo
Authorized OfficialSteven James TharalsonDirector · (480) 461-8272
Enumeration DateMarch 30, 2007
Last NPPES UpdateAugust 1, 2007
NPI 1629198858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities
Taxonomy Code320700000X
License Licensed in AZ · ALH-4567
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
758 S TOLTEC, Mesa, AZ 85204

Other Names 1

Doing Business AsComfort Haven Of Mesa

Other Identifiers 1

OtherALH-4567AZ · Assisted Living License

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 Active Assisted Living, LLC's NPI number?

The NPI number for Active Assisted Living, LLC is 1629198858. It was assigned to this organization in the NPPES registry on March 30, 2007. The provider is doing business as Comfort Haven Of Mesa.

Where is Active Assisted Living, LLC located?

Active Assisted Living, LLC is located at 758 S Toltec, Mesa, AZ 85204. The listed phone number is (480) 461-8272.

What is Active Assisted Living, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

When was this NPI record last updated?

The NPPES record for Active Assisted Living, LLC was last updated on August 1, 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.