# HEARTHSTONE HOSPITAL MESA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TRILLIUM SPECIALTY HOSPITAL EAST VALLEY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245228170
- **Authorized official:** MRS. BARBARA ANN MAHER (DIRECTOR OF FINANCIAL SERVICES)
- **Authorized official phone:** (480) 329-2877

## Contact information

- **Practice address:** 215 S POWER RD, MESA, AZ 85206-5235
- **Practice address phone:** (480) 985-6992
- **Practice address fax:** (480) 981-8390
- **Mailing address:** 215 S POWER RD, MESA, AZ 85206-5235
- **Mailing address phone:** (480) 985-6992
- **Mailing address fax:** (480) 981-8390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282E00000X | Long Term Care Hospital | SH 4388 | AZ | — |
| 314000000X | Skilled Nursing Facility | NCI 386 | AZ | — |
| 314000000X | Skilled Nursing Facility | SH 4388 | AZ | Yes |

## Other

- **Enumeration date:** 10/13/2005
- **Last updated:** 01/22/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 03-2007 | MEDICARE | AZ |
| 05 | — | 645898 | — | AZ |