Mrsc Az Mesa Master Tenant, LLC
NPI 1053869123ActiveOrganization· Assisted Living Facility· Mesa, AZ
Assisted Living Facility in Mesa, Arizona, registered in NPPES in September 2016. The authorized official on file is Gary Langendoen, Co-Manager.
Overview
| NPI | 1053869123 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 16, 2016 |
| Last updated in NPPES | Feb 5, 2025 |
| Certified by provider | Feb 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | AL10067C | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 118 assisted living facilities in Mesa · All assisted living facilities in Arizona