Watermark Carlotta, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WATERMARK CARLOTTA, LLC

Doing business as

The Fountains at the Carlotta

Practice address

41505 Carlotta Dr
Palm Desert, CA 92211-3279

Phone

(760) 346-5420

Fax

(760) 341-7768

NPI assigned

May 11, 2015

Organization subpart

No

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

Authorized official

Name

Greta Frazier

Title

Director

Phone

(520) 797-4000

Specialties & licenses 1

Addresses

Other names 1

• The Fountains at the Carlotta Doing business as

Tax ID family

Fountains Carlotta SL LP2 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.

• Fountains Carlotta SL, LP

  dba The Fountains at the Carlotta

  • Skilled Nursing Facility
  • Palm Desert, CA
  • NPI 1497708820
  NPD tax ID

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1679951768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W RUDASILL RD",
            "address_2": "ATTN: MEDICARE BILLING",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047800",
            "telephone_number": "520-797-4000",
            "fax_number": "520-797-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41505 CARLOTTA DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922113279",
            "telephone_number": "760-346-5420",
            "fax_number": "760-341-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERMARK CARLOTTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "GRETA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-797-4000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Fountains at the Carlotta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabrielle Ware
• Joan Leigh Warren, M.D.
• Peter Sol Warshawsky, D.D.S.
• Terra Washington, LVN
• Watermark Carlotta, LLC (The Springs at the Carlotta)
• Daniel Loyd Watson, PH. D.
• Kailee K Watson, O.D.
• Lawrence Charles Watson, OD
• Ben Stuart Wehrli, DPM
• Jessica Weigand, M.S., CCC-SLP

• Skilled Nursing Facility in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.