LEGACY VILLAGE OF EAST MESA – NPI #1437377207
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

LEGACY VILLAGE OF EAST MESA is a community based residential treatment facility located in MESA, AZ. NPPES has assigned the NPI number 1437377207 to LEGACY VILLAGE OF EAST MESA on April 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LEGACY VILLAGE OF EAST MESA below.

NPI Profile for
LEGACY VILLAGE OF EAST MESA

NPI Number
1437377207
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LEGACY VILLAGE OF EAST MESA
Primary location
5037 E. BROADWAY
MESA, AZ 85206
Phone: (480) 924-4073 Fax: (480) 396-0191
Mailing address
5037 E BROADWAY RD
MESA, AZ 85206-1301
Phone: (480) 924-4073 Fax: (480) 396-0191
Organization Subpart
No
Authorized Official
ROBERT BARTEL
DIRECTOR
Phone: (480) 924-4073
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)		 AZ ALC5776

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.