Healthcare Provider Details

I. General information

NPI: 1982975132
Provider Name (Legal Business Name): ENSURE BILLING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2012
Last Update Date: 01/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 N GILBERT RD
MESA AZ
85203-6629
US

IV. Provider business mailing address

605 N GILBERT RD
MESA AZ
85203-6629
US

V. Phone/Fax

Practice location:
  • Phone: 480-626-7287
  • Fax:
Mailing address:
  • Phone: 480-626-7287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: ANN MONAHAN
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 480-610-6981