Solterra Deer Valley Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10387 Issued in AZ

Legal business name

SOLTERRA DEER VALLEY OPERATIONS, LLC

Doing business as

Bridgewater Assisted Living

Practice address

2641 W Union Hills Dr
Phoenix, AZ 85027-5000

Phone

(602) 603-7480

Fax

(602) 603-7485

NPI assigned

Jun 29, 2017

Organization subpart

No

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

Authorized official

Name

Inge Duran

Title

Vice President of Finance

Phone

(480) 621-4609

Specialties & licenses 1

Addresses

Other names 1

• Bridgewater Assisted Living Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498694400000",
    "number": "1992226948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 N 78TH WAY STE B",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602970",
            "telephone_number": "16025443195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 W UNION HILLS DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275000",
            "telephone_number": "602-603-7480",
            "fax_number": "602-603-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLTERRA DEER VALLEY OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A",
        "authorized_official_last_name": "DURAN",
        "authorized_official_first_name": "INGE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "480-621-4609"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL10387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgewater Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Phoenix, AZ
• Providers in Phoenix, 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 Jun 29, 2017; 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.