Organization Active NPI

White Dove

  • Assisted Living Facility
  • Peoria, AZ
National Provider Identifier
1558088211
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WHITE DOVE
Practice address
23161 N 87TH Dr
Peoria, AZ 85383-1880
Phone
(602) 677-2627
NPI assigned
Oct 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Mrs. Marinela Bora
Title
Manager
Phone
(602) 677-2627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

23161 N 87TH Dr
Peoria, AZ 85383-1880

Mailing address

7918 W Emory LN
Peoria, AZ 85383-1024
Phone (602) 677-2627

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1558088211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7918 W EMORY LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831024",
            "telephone_number": "602-677-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23161 N 87TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831880",
            "telephone_number": "602-677-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE DOVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "BORA",
        "authorized_official_first_name": "MARINELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-677-2627",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.