Organization Active NPI

Whitestone Adc LLC

  • Adult Day Care Clinic/Center
  • Mesa, AZ
National Provider Identifier
1831976612
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
WHITESTONE ADC LLC
Practice address
5037 E Broadway Rd
Mesa, AZ 85206-1301
Phone
(480) 924-4073
Fax
(480) 396-0191
NPI assigned
Sep 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 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) 924-4073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 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": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1831976612",
    "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 ADC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "480-924-4073"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "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 Sep 13, 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.