CHERRYWOOD PLACE-SPOKANE, LLC (NPI# 1023522216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023522216 |
| Entity Type | Organization |
| Organization Name | CHERRYWOOD PLACE-SPOKANE, LLC |
| Other Organization Name | CHERRYWOOD PLACE |
| Practice Address |
100 East Dalke Ave Spokane WA 99208 |
| Mailing Address |
3220 Rosedale St Nw Suite 200 Gig Harbor WA 98335 |
| Practice Telephone | 5094843553 |
| Mailing Telephone | 2538587273 |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |
| Authorized Official Name | DOV E JABOBS (MANAGER) |
| Authorized Official Telephone | 3236784426 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Cherrywood Place | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CHERRYWOOD PLACE-SPOKANE, LLC | 3220 Rosedale St Ste 200, Gig Harbor, WA 98335-1837 |
| Street Address |
100 EAST DALKE AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043787161 | Bonnie Rose Spencer | Social Worker | E 44 Cozza, Spokane, WA 99208 | 2018-10-26 |
| 1235617515 | Melissa Dawn Scholl | Massage Therapist | 906 E Country Hill Ct, Spokane, WA 99208 | 2018-07-30 |
| 1043706583 | Healthy Schools Washington, Pllc | Pediatrics | 1028 West Rosewood Ave, Spokane, WA 99208 | 2018-07-09 |
| 1467943720 | Simone Ferguson | Student in an Organized Health Care Education/Training Program | 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 | 2018-05-22 |
| 1912496035 | Ascend Network Corp | Counselor | 3711 W Woodside, Spokane, WA 99208 | 2018-05-03 |
| 1881118792 | Annie Kamau | Registered Nurse | 5920 W Lonewolf, Spokane, WA 99208 | 2017-08-01 |
| 1609303908 | Jeffery Anthony Glinski | Counselor | 3754 W. Indian Trail Rd., Spokane, WA 99208 | 2017-05-17 |
| 1487186938 | Mukhlis Azar | Physical Therapy Assistant | 305 E Sierra Ct, Spokane, WA 99208 | 2017-04-03 |
| 1154796241 | Daisy O'dell | Marriage & Family Therapist | 515 W. Francis Ave., Suite #8, Spokane, WA 99208 | 2015-12-01 |
| 1114391661 | Wayne Leonard Clemens | Pharmacist | 210 E. North Foothills Dr., Spokane, WA 99208 | 2015-11-20 |
| Find all providers in zip 99208 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891311569 | Moran Investors LLC | Assisted Living Facility | 3319 E 57th Ave, Spokane, WA 99223-7022 | 2020-06-18 |
| 1588105308 | Pine Ridge Management Wa LLC | Assisted Living Facility | 5615 West Umatilla, Spokane, WA 99206 | 2017-03-13 |
| 1073069514 | Willow Grove, Inc. | Assisted Living Facility | 1620 E Mead St, Spokane, WA 99218-1772 | 2016-08-25 |
| 1801251566 | Spokane Royal Park Retirement, LLC | Assisted Living Facility | 302 E Wedgewood Ave, Spokane, WA 99208-5393 | 2015-12-23 |
| 1730500356 | Harbor Crest Tenant, LLC | Assisted Living Facility | 3117 E Chaser Ln, Spokane, WA 99223-7271 | 2013-12-27 |
| 1558782177 | Northpointe Tenant, LLC | Assisted Living Facility | 1110 E Westview Ct, Spokane, WA 99218-1326 | 2013-12-27 |
| 1205063625 | Riverview Lutheran Home | Assisted Living Facility | 1801 E Upriver Dr, Spokane, WA 99207-5181 | 2009-06-11 |
| 1215197215 | Barclay Benjamin LLC | Assisted Living Facility | 1100 N Superior St, Spokane, WA 99202-2002 | 2008-06-12 |
| 1891811337 | Assisted Living Concepts Inc | Assisted Living Facility | 12903 East Mission, Spokane, WA 99216 | 2007-03-22 |
| 1619093150 | Assisted Living Concepts Inc | Assisted Living Facility | 7310 N Pine Rock Street, Spokane, WA 99208 | 2007-03-22 |
| Find all providers in SPOKANE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.