Organization Active NPI

The Heritage at Palm Parke LLC

  • Assisted Living Facility
  • Casa Grande, AZ
National Provider Identifier
1386519205
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
THE HERITAGE AT PALM PARKE LLC
Practice address
1745 N Palm Parke Blvd
Casa Grande, AZ 85122-6700
Phone
(520) 476-5181
NPI assigned
Oct 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Dishon Kariuki
Title
Ceo
Phone
(520) 476-5181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1745 N Palm Parke Blvd
Casa Grande, AZ 85122-6700

Mailing address

1745 N Palm Parke Blvd
Casa Grande, AZ 85122-6700

Other names 1

  • The Heritage Living Doing business as

National Provider Directory

National Provider Directory

Locations

1745 N Palm Parke Blvd
Casa Grande, AZ 85122
Phone (520) 476-5181

NPI Registry JSON

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1386519205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 N PALM PARKE BLVD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 N PALM PARKE BLVD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226700",
            "telephone_number": "520-476-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HERITAGE AT PALM PARKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "KARIUKI",
        "authorized_official_first_name": "DISHON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-476-5181"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Heritage Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.