Mirnes Mehic
Assisted Living Facility

Address: 2018 E. Wagoner Rd., Phoenix, AZ 85022
Phone: 4807204591

Mirnes Mehic (NPI# 1942506019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1942506019
Entity Type Individual
Full Name Mirnes Mehic
Gender Male
Practice Address 2018 E. Wagoner Rd.
Phoenix
AZ 85022
Practice Telephone 4807204591
Practice Fax Number 6027882246
Mailing Address 2018 E. Wagoner Rd.
Phoenix
AZ 85022
Mailing Telephone 4807204591
Mailing Fax Number 6027882246
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2011-02-07
Last Update Date 2011-02-07

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 310400000X Assisted Living Facility Nursing & Custodial Care Facilities AL7900H AZ

Other Provider Identifier

State Identifier Issuer Type Code
AZ 310400000X OTHER AHCCCS

Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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.
Notes: [7/1/2003: new]

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Office Location

Street Address 2018 E. WAGONER RD.
City PHOENIX
State AZ
Zip Code 85022

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528626074 Keauna Olugu Psychologist 17249 N. 7th St, 1128, Phoenix, AZ 85022 2019-05-30
1215455498 Kristi Etchechury Occupational Therapy Assistant 807 East Beck Lane, Phoenix, AZ 85022 2017-09-07
1871017103 Julie Dale Physical Therapist 1910 E Kathleen Rd, Phoenix, AZ 85022 2017-07-28
1669994539 Valley Wellness Center Pllc Internal Medicine 702 E Bell Rd Ste 112, Phoenix, AZ 85022 2017-07-12
1386001758 Debbie Mulder Behavior Analyst 2400 West Dunlap Ave., Suite 100, Glendale, AZ 85022 2016-01-15
1114383437 Jean Fay King Nurse Practitioner 15409 N. 23rd St., Phoenix, AZ 85022 2016-01-04
1093050767 Cheyanne Wilderness Gastelum Midwife 2236 E. Delgado St., Phoenix, AZ 85022 2012-12-06
1760731236 Nicole Ann Raus Occupational Therapy Assistant 15414 N. 7th Street, Suite 3, Phoenix, AZ 85022 2012-08-30
1144593211 Edward Najeeb Abraham Family Medicine 14419 N. 5th Place, Phoenix, AZ 85022 2012-02-20
1730483124 Dembyentertainment Non-emergency Medical Transport (VAN) 17222 N Central Ave 119, Phx, AZ 85022 2010-12-29
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Competitor

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City PHOENIX
Zip Code 85022

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.