WHITE CLIFFS SENIOR LIVING
NPI 1730653361
Assisted Living Facility in Kingman, AZ

Q: What is Kingman Senior Living, LLC's NPI number?

The NPI number for Kingman Senior Living, LLC is 1730653361. It was assigned to this organization in the NPPES registry on January 16, 2019. The provider is doing business as White Cliffs Senior Living.

Q: What is Kingman Senior Living, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since January 16, 2019

3600 PETERSON RD, KINGMAN, AZ 86409(928) 681-1050 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2023, Jan 16, 2019 (2 updates tracked since 2019).

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About White Cliffs Senior Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITE CLIFFS SENIOR LIVING (NPI 1730653361) is a healthcare organization registered as an assisted living facility in Kingman, Arizona and active in the NPI registry since January 2019. The organization lists David Freshwater, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1730653361

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameKINGMAN SENIOR LIVING, LLC

Location Address3600 PETERSON RDKingman, AZ 86409-3276

Mailing Address2020 W Rudasill RdTucson, AZ 85704-7800

Phone(928) 681-1050

Organization SubpartNo

Authorized OfficialDavid FreshwaterAuthorized Official · (520) 797-4000

Enumeration DateJanuary 16, 2019

Last NPPES UpdateJanuary 19, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2023

✔ NPI 1730653361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

3600 PETERSON RD, Kingman, AZ 86409

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Other Names 1

Doing Business AsWhite Cliffs Senior Living

Other Identifiers 1

MedicaidAL9549CAZ

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDGEWOOD KINGMAN AZ03 LLC

Assisted Living Facility

3600 PETERSON RD
KINGMAN, AZ 86409

Mohave County (928) 451-7951

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kingman Senior Living, LLC's NPI number?

The NPI number for Kingman Senior Living, LLC is 1730653361. It was assigned to this organization in the NPPES registry on January 16, 2019. The provider is doing business as White Cliffs Senior Living.

Where is Kingman Senior Living, LLC located?

Kingman Senior Living, LLC is located at 3600 Peterson Rd, Kingman, AZ 86409. The listed phone number is (928) 681-1050.

What is Kingman Senior Living, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Kingman Senior Living, LLC was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.