# SPRINGDALE VILLAGE, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528179801
- **Authorized official:** LINDA L CARLSON (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (480) 924-7777

## Contact information

- **Practice address:** 7255 E BROADWAY RD, MESA, AZ 85208-9201
- **Practice address phone:** (480) 981-8844
- **Practice address fax:** (480) 981-6998
- **Mailing address:** 7255 E BROADWAY RD, MESA, AZ 85208-9201
- **Mailing address phone:** (480) 981-8844
- **Mailing address fax:** (480) 981-6998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NCI-426 | AZ | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 057639 | — | AZ |