Adp of San Dimas, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ADP OF SAN DIMAS, LLC

Practice address

1155 Via Verde
San Dimas, CA 91773-4428

Phone

(909) 293-6466

NPI assigned

Jun 12, 2025

Organization subpart

No

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

Authorized official

Name

Stacy Randels

Title

VP Asset Management

Phone

(531) 800-3364

Specialties & licenses 1

Addresses

Other names 1

• The Terraces Via Verde Other name

Locations

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1326933854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 VIA VERDE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734428",
            "telephone_number": "909-293-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 VIA VERDE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734428",
            "telephone_number": "909-293-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADP OF SAN DIMAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "RANDELS",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "VP ASSET MANAGEMENT",
        "authorized_official_telephone_number": "531-800-3364"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Terraces Via Verde",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.