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SOLTERRA AT WHITE MOUNTAINS LLC NPI 1588838874


NPI Information

NPI: 1588838874
Provider Name: SOLTERRA AT WHITE MOUNTAINS, LLC

Doing Business As: SOLTERRA AT WHITE MOUNTAINS

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 03D2198889

Address:
5408 ARIZONA HIGHWAY 260
LAKESIDE, AZ
ZIP 85929
Phone: (928) 532-4600
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SOLTERRA AT WHITE MOUNTAINS, LLC is an assisted living facility in Lakeside, AZ. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SOLTERRA AT WHITE MOUNTAINS, LLC NPI is 1588838874. The provider is registered as an organization entity type.
The provider Is Doing Business As Solterra At White Mountains.

The provider's business location address is:

5408 ARIZONA HIGHWAY 260
LAKESIDE, AZ
ZIP 85929
Phone: (928) 532-4600

The provider's authorized official is Anita James .
The authorized official title is Administrator and has the following contact phone number (928) 532-4600.

The CLIA number assigned to this NPI record is 03D2198889 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2008 and was last updated on 4/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityALC6571ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1APPLIED FORMEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.