Provider Demographics
NPI:1972741312
Name:SOLTERRA OF ARIZONA LLC
Entity type:Organization
Organization Name:SOLTERRA OF ARIZONA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:ROYTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-544-3195
Mailing Address - Street 1:350 S ALMA SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-7605
Mailing Address - Country:US
Mailing Address - Phone:480-214-6700
Mailing Address - Fax:480-214-6711
Practice Address - Street 1:350 S ALMA SCHOOL RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-7605
Practice Address - Country:US
Practice Address - Phone:480-214-6700
Practice Address - Fax:480-214-6711
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOLTERRA OF ARIZONA LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-22
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZALC-6695310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility