Casa Grande Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CASA GRANDE SENIOR LIVING, LLC

Doing business as

Caliche Senior Living

Practice address

1640 N Peart Rd
Casa Grande, AZ 85122-2564

Phone

(520) 314-9040

NPI assigned

Jan 16, 2019

Organization subpart

No

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

Authorized official

Name

David Freshwater

Title

Authorized Official

Phone

(520) 797-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Caliche Senior Living Doing business as

Tax ID family

Caliche Senior Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Casa Grande Senior Living, LLC

  dba Caliche Senior Living

  • Adult Day Care Clinic/Center
  • Casa Grande, AZ
  • NPI 1144786195
  NPD tax ID

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1629542212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W RUDASILL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 N PEART RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222564",
            "telephone_number": "520-314-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA GRANDE SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "FRESHWATER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "520-797-4000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AL10326C",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caliche Senior Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Caliche Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casa Grande Oral and Maxillofacial Surgery, P.C.
• Casa Grande Pediatric Dentistry
• Casa Grande Pediatrics
• Casa Grande Pharmacy Inc (Grand Pharmacy)
• Casa Grande Senior Living, LLC (Caliche Senior Living)
• Casa Grande Transportation Services, LLC
• Casa Grande Union High School District
• Casa Grande Union HSD
• Casa Grande Urgent Care
• Casa Grande Urgent Care LLC (NextCare)

• Assisted Living Facility in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.