OrganizationActive
Evergreen at Mesa, L.L.C.
NPI 1275581951 · Skilled Nursing Facility · Mesa, AZ
Evergreen at Mesa, L.L.C. is a Skilled Nursing Facility organization in Mesa, AZ (NPI 1275581951).
Provider details
- NPI number
- 1275581951
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Andrew Martini, Manager(360) 892-6628
- License
- NCA-2627 (AZ)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
6458 E Broadway Rd
Mesa, AZ 85206-1727
Phone: (480) 832-5160
Fax: (480) 854-7046
Street-level locationGet directions
Mailing address
4601 Ne 77th Ave
Vancouver, WA 98662-6729
Other names (DBA / former)
- Doing business as
- Evergreen Valley Health and Rehabilitation Center
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2020-08-22
Frequently asked questions
- What is Evergreen at Mesa, L.L.C.'s NPI number?
- Evergreen at Mesa, L.L.C.'s National Provider Identifier (NPI) is 1275581951, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen at Mesa, L.L.C.?
- Evergreen at Mesa, L.L.C. is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Evergreen at Mesa, L.L.C. located?
- Evergreen at Mesa, L.L.C.'s practice location on file with NPPES is 6458 E Broadway Rd, Mesa, AZ 85206-1727.
- What is Evergreen at Mesa, L.L.C.'s phone number?
- The practice phone number listed in the NPPES registry for Evergreen at Mesa, L.L.C. is (480) 832-5160.
- Who is the authorized official for Evergreen at Mesa, L.L.C.?
- The authorized official listed on Evergreen at Mesa, L.L.C.'s NPPES record is Andrew Martini, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen at Mesa, L.L.C.'s NPI active?
- Yes — Evergreen at Mesa, L.L.C.'s NPI (1275581951) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.