SOLTERRA AT WHITE MOUNTAINS LLC NPI 1588838874

NPI Information

  • NPI: 1588838874
  • Provider Name: SOLTERRA AT WHITE MOUNTAINS, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: SOLTERRA AT WHITE MOUNTAINS
  • CLIA Number: 03D2198889
  • Address: 5408 ARIZONA HIGHWAY 260
    LAKESIDE, AZ
    ZIP 85929
  • Phone: (928) 532-4600

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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