AVALON CARE CENTER - PULLMAN, LLC (NPI# 1114911484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114911484 |
| Entity Type | Organization |
| Organization Name | AVALON CARE CENTER - PULLMAN, LLC |
| Practice Address |
1310 Nw Deane St Pullman WA 99163-3705 |
| Mailing Address |
206 N 2100 W Salt Lake City UT 84116-2927 |
| Practice Telephone | 5093321566 |
| Practice Fax Number | 5093320909 |
| Mailing Telephone | 8013250153 |
| Mailing Fax Number | 8015969001 |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2013-01-30 |
| Authorized Official Name | FAYE LINCLON (VP, POLICY/GOVERNMENT RELATIONS) |
| Authorized Official Telephone | 8013250153 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH 1361 | WA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 4113619 | 05 |
| Street Address |
1310 NW DEANE ST |
| City | PULLMAN |
| State | WA |
| Zip Code | 99163-3705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952965303 | Bethany Marie Mcmillen | Occupational Therapist | 1310 Nw Deane St, Pullman, WA 99163-3705 | 2019-04-30 |
| 1710490073 | Andrew Murray Mitchell Jr. | Physical Therapy Assistant | 1310 Nw Deane St, Pullman, WA 99163-3705 | 2017-11-08 |
| 1760901037 | Jennifer Wall | Occupational Therapy Assistant | 1310 Nw Deane St, Pullman, WA 99163-3705 | 2017-09-18 |
| 1902341530 | Alyssa Knight | Physical Therapy Assistant | 1310 Nw Deane St, Pullman, WA 99163-3705 | 2017-01-05 |
| 1013240514 | Sara Michelle Desrosier | Occupational Therapy Assistant | 1310 Nw Deane St, Pullman, WA 99163-3705 | 2009-09-15 |
| 1306014873 | Chelsea J Shors | Occupational Therapist | 1310 Nw Deane St, Pullman, WA 99163-3705 | 2008-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003445255 | Jennifer Beattie | Specialist/Technologist | 1360 Cougar Way, Pullman, WA 99163 | 2020-04-08 |
| 1245715788 | Chirs Sader | Specialist/Technologist | Cougar Way, Bohler Addition, Pullman, WA 99163 | 2018-10-01 |
| 1588158307 | Stefanie Clark | Massage Therapist | 1205 Se Bishop Blvd, Suite #109, Pullman, WA 99163 | 2018-06-15 |
| 1023523859 | Madeleine Degrasse | Specialist/Technologist | 1580 Ne Cougar Way, 265, Coleman, WA 99163 | 2017-12-01 |
| 1720517188 | Chelsea Michelle Luna | Specialist/Technologist | 705 Nw State St, Pullman, WA 99163 | 2017-06-08 |
| 1649706185 | Travis Reid Edwards | Specialist/Technologist | 1455 Ne Colorado St, Pullman, WA 99163 | 2017-05-03 |
| 1053775403 | Anna Grindeland | Dietitian, Registered | 555 Se Water St, Pullman, WA 99163 | 2016-04-12 |
| 1487991741 | Yoko Jingi | Specialist/Technologist | 1225 S Grand Ave., Pullman, WA 99163 | 2013-01-07 |
| 1003151572 | Jessie M Armstrong | Speech-Language Pathologist | 1805 Nw Canyonview Drive, Pullman, WA 99163 | 2012-12-10 |
| 1679827877 | Schweitzer Engineering Laboratories | Clinic/Center | 2440 Ne Hopkins Ct., Pullman, WA 99163 | 2012-11-09 |
| Find all providers in zip 99163 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639717 | Atsugi LLC | Skilled Nursing Facility | 23815 Se 28th St, Sammamish, WA 98075 | 2019-10-02 |
| 1457840795 | Mission Healthcare At Renton, LLC | Skilled Nursing Facility | 17420 106th Pl Se, Renton, WA 98055-5438 | 2018-05-02 |
| 1104330349 | North Auburn Health, LLC | Skilled Nursing Facility | 2830 I Street Ne, Auburn, WA 98002 | 2017-11-27 |
| 1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1215455365 | Thirty Three Oaks, LLC | Skilled Nursing Facility | 400 E. 33rd St., Vancouver, WA 98663 | 2017-09-08 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1265950422 | University Place Rehabilitation Center, LLC | Skilled Nursing Facility | 5520 Bridgeport Way W., University Place, WA 98467 | 2017-09-07 |
| 1235662081 | Alexandra Vick | Skilled Nursing Facility | 18621 29th Ave E, Tacoma, WA 98445-4323 | 2017-04-08 |
| 1255883831 | Heron's Key | Skilled Nursing Facility | 4340 Borgen Blvd, Gig Harbor, WA 98332-7000 | 2016-10-28 |
| Find all providers with the same taxonomy | ||||
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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.