OrganizationActive
Life Sonoran Homnes
NPI 1114296332 · Adult Care Home Facility · Mesa, AZ
Provider details
- NPI number
- 1114296332
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mike Fitzgerald, Manager(480) 650-6685
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
2036 E Calle Maderas
Mesa, AZ 85213-2910
Phone: (480) 650-6685
Fax: (480) 461-0069
Street-level locationGet directions
Mailing address
Po Box 8998
Mesa, AZ 85214-8998
Registry dates
- Enumerated
- 2011-12-16
- Last updated
- 2011-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.