Organization Active NPI

White Violet Adult Care Home II LLC

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1811734445
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WHITE VIOLET ADULT CARE HOME II LLC
Practice address
3711 W Cholla St
Phoenix, AZ 85029-3132
Phone
(602) 218-6378
Fax
(602) 801-3543
NPI assigned
Jul 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Ms. Dina Arguillo
Title
Licensee
Phone
(619) 316-5779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3711 W Cholla St
Phoenix, AZ 85029-3132

Mailing address

3711 W Cholla St
Phoenix, AZ 85029-3132
Phone (602) 218-6378

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1811734445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 W CHOLLA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293132",
            "telephone_number": "602-218-6378",
            "fax_number": "602-801-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 W CHOLLA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293132",
            "telephone_number": "602-218-6378",
            "fax_number": "602-801-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE VIOLET ADULT CARE HOME II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "ARGUILLO",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "619-316-5779",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.