SUNDOWN M RANCH (NPI# 1154474104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154474104 |
Entity Type | Organization |
Organization Name | SUNDOWN M RANCH |
Practice Address |
2280 State Route 821 Yakima WA 98901-8302 |
Mailing Address |
Po Box 217 Selah WA 98942-0217 |
Practice Telephone | 5094570990 |
Mailing Telephone | 5094570990 |
Enumeration Date | 2007-01-20 |
Last Update Date | 2020-10-29 |
Authorized Official Name | MARK LOES (DIRECTOR OF OPERATIONS) |
Authorized Official Telephone | 5099690092 |
Authorized Official Credential | SUPD, MBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251B00000X | Case Management | RTF-1064 | WA | Agencies |
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
RTF-1064 | WA | Ambulatory Health Care Facilities |
N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
RTF-1064 | WA | Residential Treatment Facilities |
Y | 324500000X | Substance Abuse Rehabilitation Facility | RTF-1064 | WA | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1003772 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | SUNDOWN M RANCH CORPORATION | 2280 State Route 821, Yakima, WA 98901-8302 |
Street Address |
2280 STATE ROUTE 821 |
City | YAKIMA |
State | WA |
Zip Code | 98901-8302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700402575 | Baldwin Hong | Counselor | 2280 State Route 821, Yakima, WA 98901-8302 | 2020-06-17 |
1093287658 | Laura Jean Catron | Counselor | 2280 State Route 821, Yakima, WA 98901-8302 | 2018-12-20 |
1881162980 | Garen Roland Barnett | Counselor | 2280 State Route 821, Yakima, WA 98901-8302 | 2018-11-06 |
1376028621 | Scott Eugene Munson | Counselor | 2280 State Route 821, Yakima, WA 98901-8302 | 2018-10-02 |
1407335631 | Deniele Anna Fleming | Counselor | 2280 State Route 821, Yakima, WA 98901-8302 | 2018-08-08 |
1023596749 | Mandisa West | Counselor | 2280 State Route 821, Yakima, WA 98901-8302 | 2018-08-03 |
1154809085 | Elizabeth Laverne Boelter | Counselor | 2280 State Route 821, Yakima, WA 98901-8302 | 2018-08-02 |
1689152662 | De Anna Lee Harris | Counselor | 2280 State Route 821, Yakima, WA 98901 | 2018-08-01 |
1427536481 | Tyler Shane Douglas | Counselor | 2280 State Route 821, Yakima, WA 98901-8302 | 2018-08-01 |
1477031656 | David William Boblitt | Counselor | 2280 State Route 821, Yakima, WA 98901-8302 | 2018-07-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477162998 | China Nwachukwu | Pharmacist | Buter-haney Hall, 200 University Pkwy, Yakima, WA 98901 | 2020-07-30 |
1760959290 | Conswaylo Ann Fleek | Counselor | 120 S. 3rd Ave., Yakima, WA 98901 | 2018-11-02 |
1396212718 | Nancy Fraser | Counselor | 120 S. 3rd Street, Yakima, WA 98901 | 2018-10-24 |
1386129021 | John Scott | Student in an Organized Health Care Education/Training Program | Pacific Northwest University of Health Sciences, 111 University Parkway, Suite 202, Yakima, WA 98901 | 2018-09-28 |
1679051387 | Toni Christine Fogli | Counselor | 2280 Ste. Rte. 821, Yakima, WA 98901 | 2018-08-03 |
1043798267 | Amber Ann Couture | Counselor | 2280 Wa-821, Yakima, WA 98901 | 2018-07-31 |
1992201982 | Etienne Galbreath | Student in an Organized Health Care Education/Training Program | Butler-haney Hall, 200 University Pkwy, Yakima, WA 98901 | 2018-03-30 |
1619490737 | Christine M Armijo | Massage Therapist | 1001 University Parkway, Yakima, WA 98901 | 2017-07-20 |
1366970048 | Jose Antonio Mendoza | Dentist | 12 S 8t Hst, Yakima, WA 98901 | 2017-05-25 |
1982156501 | David Burkett | Counselor | 315 N. 2nd Street, Yakima, WA 98901 | 2016-10-31 |
Find all providers in zip 98901 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437555471 | Yakima Valley Council On Alcoholism | Substance Abuse Rehabilitation Facility | 3300 Roosevelt Ave, Yakima, WA 98902-6344 | 2014-11-18 |
1811255532 | Balance Social Services | Substance Abuse Rehabilitation Facility | 1214 W Lincoln Ave Ste A, Yakima, WA 98902-2576 | 2012-05-01 |
1699981282 | Comprehensive Healthcare | Substance Abuse Rehabilitation Facility | 307 W Walnut St, Yakima, WA 98902 | 2007-05-14 |
1386858363 | Yakima Valley Council On Alcoholism | Substance Abuse Rehabilitation Facility | 613 Superior Ln, Yakima, WA 98902-1623 | 2007-05-09 |
1225373350 | Flowers of Washinton | Substance Abuse Rehabilitation Facility | 3911 W Lincoln Ave, Yakima, WA 98902-2211 | 2012-11-29 |
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1760090518 | Hotel California By The Sea Bellevue, LLC. | Substance Abuse Rehabilitation Facility | 7810 130th Ave Ne, Kirkland, WA 98033-8251 | 2020-07-17 |
1629532569 | Sandra Ann Moore | Substance Abuse Rehabilitation Facility | 2632 E 17th St, Bremerton, WA 98310-5058 | 2019-01-24 |
1972085835 | Peninsula Counseling, LLC | Substance Abuse Rehabilitation Facility | 3214 50th Street Ct Nw Ste D-305, Gig Harbor, WA 98335-8589 | 2018-09-06 |
1356831911 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 44 E Cozza Dr Ste B, Spokane, WA 99208-6514 | 2018-05-18 |
1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
1346785524 | Big Change Medical | Substance Abuse Rehabilitation Facility | 26857 16th Ave S, Des Moines, WA 98198-9327 | 2016-12-27 |
1881062362 | Sea-mar Community Health Center | Substance Abuse Rehabilitation Facility | 113 23rd Ave S, Seattle, WA 98144-2309 | 2015-09-14 |
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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.