Organization Active NPI

Whitestone Senior Living LLC

  • Assisted Living Facility
  • Mesa, AZ
National Provider Identifier
1538844063
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WHITESTONE SENIOR LIVING LLC
Practice address
5037 E Broadway Rd
Mesa, AZ 85206-1301
Phone
(480) 924-4073
Fax
(480) 396-0191
NPI assigned
Jun 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Chaim Zimmerman
Title
Executive Director
Phone
(480) 417-7594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5037 E Broadway Rd
Mesa, AZ 85206-1301

Mailing address

5037 E Broadway Rd
Mesa, AZ 85206-1301
Phone (480) 924-4073

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1538844063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5037 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061301",
            "telephone_number": "480-924-4073",
            "fax_number": "480-396-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5037 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061301",
            "telephone_number": "480-924-4073",
            "fax_number": "480-396-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITESTONE SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "480-417-7594"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 21, 2023; 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.