Organization Active NPI

White Acres Assisted Living LLC

  • Assisted Living Facility
  • El Paso, TX
National Provider Identifier
1942036017
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WHITE ACRES ASSISTED LIVING LLC
Practice address
7304 Good Samaritan CT Apt 300
El Paso, TX 79912-1670
Phone
(915) 581-4683
Fax
(915) 581-5198
NPI assigned
Sep 13, 2024
Last updated
Sep 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
David Garetz
Title
Cfo
Phone
(323) 987-5954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7304 Good Samaritan CT Apt 300
El Paso, TX 79912-1670

Mailing address

7304 Good Samaritan CT Apt 300
El Paso, TX 79912-1670
Phone (915) 581-4683

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1065579Good Samaritan White Acres Assisted Living7304 Good Samaritan Court #300, El Paso, TX 79912Certificate of waiverMar 5, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1942036017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7304 GOOD SAMARITAN CT APT 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121670",
            "telephone_number": "915-581-4683",
            "fax_number": "915-581-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7304 GOOD SAMARITAN CT APT 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121670",
            "telephone_number": "915-581-4683",
            "fax_number": "915-581-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE ACRES ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "GARETZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "323-987-5954"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.