HERITAGE VILLAGE BLDG2 LLC NPI 1922518067

NPI Information

NPI: 1922518067
Provider Name: HERITAGE VILLAGE BLDG2, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address: 8035 E BROWN RD
MESA, AZ
ZIP 85207
Phone: (480) 686-8540

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NPI Details

HERITAGE VILLAGE BLDG2, LLC 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. HERITAGE VILLAGE BLDG2, LLC NPI is 1922518067. The provider is registered as an organization entity type.

The provider's business location address is:

8035 E BROWN RD
MESA, AZ
ZIP 85207-901
Phone: (480) 686-8540

The provider's authorized official is Ron Stewart .
The authorized official title is Manager and has the following contact phone number (253) 241-4992.

The enumeration date for this NPI number is 10/3/2017 and was last updated on 10/3/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		AL105345C	ARIZONA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AL10534C	OTHER	ARIZONA	ASSISTED LIVING LICENSE

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: 11/21/2025

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