KPC PROMISE HOSPITAL OF PHOENIX LLC
NPI 1770147118
Long Term Care Hospital in Mesa, AZ

NPI Status: Active since April 30, 2019

Contact Information

433 E 6TH ST
MESA, AZ
ZIP 85203
Phone: (480) 427-3000

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  • Organization
  • Long Term Care Hospital
  • Accepts Insurance
  • CLIA Number: 03D1022984
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 02-13-2027

About KPC PROMISE HOSPITAL OF PHOENIX LLC

This page provides the complete NPI Profile along with additional information for Kpc Promise Hospital Of Phoenix Llc, a provider established in Mesa, Arizona operating as a Long Term Care Hospital. The healthcare provider is registered in the NPI registry with number 1770147118 assigned on April 2019. The practitioner's primary taxonomy code is 282E00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is William Thomas (Secretary)

NPI
1770147118
Provider Name
KPC PROMISE HOSPITAL OF PHOENIX LLC
Entity Type
Organization
Location Address
433 E 6TH ST MESA, AZ 85203
Location Phone
(480) 427-3000
Mailing Address
900 N FEDERAL HWY STE 350 BOCA RATON, FL 33432
Mailing Phone
(561) 869-6505
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-30-2019
Last Update Date
11-01-2021
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According to the Long-Term Care Hospital Compare program data, Kpc Promise Hospital Of Phoenix Llc is a for profit Medicare certified facility with approximately 48 beds. The initial Medicare certification or recertification date of this facility was on 06-01-2005

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Long Term Care Hospital

Taxonomy Code
282E00000X
Type
Hospitals
Taxonomy Description
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • BannerAetna Bronze 2 HSA: No PCP required + 98point6 virtual care 24/7 - HMO
  • BannerAetna Bronze 4: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Bronze 4: No PCP required + $0 PCP + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Bronze S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Gold 10: No PCP required + $0 PCP + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Gold S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental +Vision - HMO
  • BannerAetna Silver 4: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver 4: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Silver 5: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver S: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO
  • Blue AdvanceHealth Bronze - Neighborhood Network - HMO
  • Blue AdvanceHealth Gold - Neighborhood Network - HMO
  • Blue AdvanceHealth Silver - Neighborhood Network - HMO
  • Blue EverydayHealth Gold - Neighborhood Network - HMO
  • Blue EverydayHealth Silver - Neighborhood Network - HMO
  • Blue Portfolio HSA Bronze - Neighborhood Network - HMO
  • Blue Portfolio HSA Gold - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
  • Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
  • Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
  • Blue StandardHealth Bronze - Neighborhood Network - HMO
  • Blue StandardHealth Gold - Neighborhood Network - HMO
  • Blue StandardHealth Silver - Neighborhood Network - HMO
  • Connect Bronze 6800 Indiv Med Deductible - HMO
  • Connect Bronze 8900 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold 2500 Indiv Med Deductible - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 4000 Indiv Med Deductible - HMO
  • Connect Silver 5000 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Standard - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILLIAM THOMAS

Authorized Official Title
SECRETARY
Authorized Official Phone
(951) 987-8100

Long-Term Care Hospital Compare Information

The Long-Term Care Hospital Compare program allows patients and caregivers make informed decisions about healthcare based on quality of care, cost, volume of services, and other data at certified Medicare facilities.

Certification Number CMS Certification Number
The CMS certification number (CCN) is used to identify the hospital listed.
032006
Ownership Type Ownership Type
Indicates the hospital's ownership type: For Profit, Non-profit, Government
For profit
Certification Date Certification Date
The initial Medicare certification or recertification date of the hospital.
06-01-2005
Number of Beds Total Number of Beds
The total number of beds in the hospital.
48
Catheter-associated urinary tract infections (CAUTI)Better than the National Benchmark
Central line-associated bloodstream infections (CLABSI)Better than the National Benchmark
Percentage of LTCH patients who experience one or more falls with major injury during their LTCH stay0.0
Clostridium difficile Infection (CDI)Better than the National Benchmark
Influenza Vaccination Coverage Among Healthcare Personnel66.5
Rate of potentially preventable hospital readmissions 30 days after discharge from an LTCHNo Different than the National Rate
Rate of successful return to home and community from an LTCHNo Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) in LTCHs $155
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified98.9
Percentage of patients with pressure ulcers/injuries that are new or worsened3.2

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D1022984
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
February 14, 2025
Certificate Expiration Date
February 13, 2027
Laboratory Director
DR. WILLIAM NASSOUR
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Kpc Promise Hospital Of Phoenix Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for KPC PROMISE HOSPITAL OF PHOENIX LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770147118
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27140241412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 2 + 4 + 1 + 4 + 1 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1770147118 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

PROMISE HOSPITAL OF PHOENIX INC

Long Term Care Hospital

433 E 6TH ST
MESA, AZ
ZIP 85203

(480) 427-3006

MRS. THERESIA RICHARDSON

Nurse Practitioner

(Acute Care)

433 E 6TH ST
MESA, AZ
ZIP 85203

(480) 427-3000

BRITTNI NUSS

Physician Assistant

433 E 6TH ST
MESA, AZ
ZIP 85203

(978) 987-0619

PHOENIX SPECIALTY HOSPITAL

Long Term Care Hospital

433 E 6TH ST
MESA, AZ
ZIP 85203

(480) 427-3000

HEBAH AMIREH

Physical Therapist

433 E 6TH ST
MESA, AZ
ZIP 85203

(480) 427-3000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770147118, enumerated as an "organization" on April 30, 2019.

The provider is located at 433 E 6TH ST MESA, AZ 85203 and the phone number is (480) 427-3000.

Long Term Care Hospital with taxonomy code 282E00000X.

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