NPIMap

Organization Active NPI

Desert Palms

  • Alzheimer Center (Dementia Center)
  • Mesa, AZ
National Provider Identifier
1326199662
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
DESERT PALMS
Practice address
152 N 56TH St
Mesa, AZ 85205-8718
Phone
(480) 985-0680
Fax
(480) 396-6231
NPI assigned
Jan 15, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Margaret A Peterson, RN
Title
Ceo
Phone
(480) 985-0680

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALC-4917 AZ
Alzheimer Center (Dementia Center) 311500000X AZ Primary

Addresses

Primary practice location

152 N 56TH St
Mesa, AZ 85205-8718

Mailing address

152 N 56TH St
Mesa, AZ 85205-8718
Phone (480) 985-0680

Other identifiers 2

IdentifierTypeStateIssuer
351982-01MedicaidAL
805244MedicaidAL

National Provider Directory

National Provider Directory
Tax ID family
Covenant Care California LLC17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1326199662",
    "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": "DESERT PALMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-985-0680",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALC-4917",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351982-01",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805244",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.