Palms Senior LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALC6182 Issued in AZ

Legal business name

PALMS SENIOR LLC

Doing business as

dba legacy palms

Practice address

152 N 56TH St
Mesa, AZ 85205-8718

Phone

(480) 985-0680

Fax

(480) 396-6231

NPI assigned

Aug 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert Thomas Bartel

Title

Director

Phone

(480) 985-0680

Specialties & licenses 2

Addresses

Other names 1

• dba legacy palms Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1073704599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 N 56TH ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058718",
            "telephone_number": "480-985-0680",
            "fax_number": "480-396-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 N 56TH ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058718",
            "telephone_number": "480-985-0680",
            "fax_number": "480-396-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMS SENIOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "BARTEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-985-0680",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALC6182",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "AZ",
            "license": "ALC6182",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba legacy palms",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyle Palmer, DMD
• Matthew Palmer, OD
• Rodney James Palmer, DDS
• Tracy Lynn Palmer, LPC
• Palmetto Counseling and Wellness, PLLC
• Alyssa Palty, MC
• Demetri N Panayi, MD
• Ankur Panchal
• Michelle Leigh Pande, MICHELLE PANDE NP-C
• Panduga Surgical Care, PLLC

• Assisted Living Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.