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EVMARK CORP NPI 1912240938


NPI Information

NPI: 1912240938
Provider Name: EVMARK CORP

Doing Business As: EXTENDED FAMILY ASSISTED LIVING HOMES

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2556 E HERMOSA VISTA DR
MESA, AZ
ZIP 85213
Phone: (480) 833-6328
Get Directions

EVMARK CORP is an assisted living facility in Mesa, AZ. The provider is 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. EVMARK CORP NPI is 1912240938. The provider is registered as an organization entity type.
The provider Is Doing Business As Extended Family Assisted Living Homes.

The provider's business location address is:

2556 E HERMOSA VISTA DR
MESA, AZ
ZIP 85213-304
Phone: (480) 833-6328

The provider's authorized official is Marta C Logan .
The authorized official title is Executive Director and has the following contact phone number (480) 833-6328.

The enumeration date for this NPI number is 3/27/2013 and was last updated on 3/27/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityAL4343HARIZONANo
2310400000XAssisted Living FacilityALH-1203ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1219747MEDICAIDARIZONA
2219819MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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