OrganizationActive
Evergreen at Mesa (alf), L.L.C.
NPI 1093914004 · Assisted Living Facility · Mesa, AZ
Evergreen at Mesa (alf), L.L.C. is a Assisted Living Facility organization in Mesa, AZ (NPI 1093914004).
Provider details
- NPI number
- 1093914004
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Anne Nipp, Manager(360) 892-6618
- License
- ALC-5063 (AZ)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
215 W Brown Rd
Mesa, AZ 85201-3415
Phone: (480) 668-6118
Fax: (480) 461-1552
Street-level locationGet directions
Mailing address
215 W Brown Rd
Mesa, AZ 85201-3415
Other names (DBA / former)
- Doing business as
- Mesa Christian Residential Care Center
Registry dates
- Enumerated
- 2007-07-11
- Last updated
- 2007-07-11
Frequently asked questions
- What is Evergreen at Mesa (alf), L.L.C.'s NPI number?
- Evergreen at Mesa (alf), L.L.C.'s National Provider Identifier (NPI) is 1093914004, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen at Mesa (alf), L.L.C.?
- Evergreen at Mesa (alf), L.L.C. is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Evergreen at Mesa (alf), L.L.C. located?
- Evergreen at Mesa (alf), L.L.C.'s practice location on file with NPPES is 215 W Brown Rd, Mesa, AZ 85201-3415.
- What is Evergreen at Mesa (alf), L.L.C.'s phone number?
- The practice phone number listed in the NPPES registry for Evergreen at Mesa (alf), L.L.C. is (480) 668-6118.
- Who is the authorized official for Evergreen at Mesa (alf), L.L.C.?
- The authorized official listed on Evergreen at Mesa (alf), L.L.C.'s NPPES record is Anne Nipp, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen at Mesa (alf), L.L.C.'s NPI active?
- Yes — Evergreen at Mesa (alf), L.L.C.'s NPI (1093914004) is active in the NPPES registry as of the last update on 2007-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.