Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ponderosa Pine Healthcare, Inc

Organization Skilled Nursing Facility · NPI 1235865254

Ponderosa Pine Healthcare, Inc is a Skilled Nursing Facility in Mesa, Arizona. Medicare rates this nursing home 3 out of 5. Registered with an NPI since 2022.

CMS rating
3 of 5
In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

CMS quality rating

3 out of 5 — official nursing home rating from CMS Care Compare (CCN 035193)
Health inspection2.0 / 5
Staffing2.0 / 5
Quality measures5.0 / 5
OwnershipFor profit - Corporation

Practice location Address checks out

3130 E Broadway Rd
Mesa, AZ 85204-1740
Phone: (480) 924-7777
Fax: (480) 924-5712
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1235865254
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Soon Burnam — Treasurer · (949) 540-1249
NPI enumeratedAugust 1, 2022
Last updated in NPPESAugust 1, 2022
Certification dateAugust 1, 2022
Mailing address3130 E Broadway Rd, Mesa, AZ 85204-1740

Other providers in Mesa