CASCADE CONNECTIONS (NPI# 1366050833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366050833 |
| Entity Type | Organization |
| Organization Name | CASCADE CONNECTIONS |
| Practice Address |
1354 Pacific Place Suite 101 Ferndale WA 98248 |
| Mailing Address |
P.o. Box 3174 Ferndale WA 98248-3174 |
| Practice Telephone | 3607149355 |
| Practice Fax Number | 3603120332 |
| Mailing Telephone | 3607149355 |
| Mailing Fax Number | 3603120332 |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |
| Authorized Official Name | MR. GEORGE EDWARD BEANBLOSSOM JR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3607149355 |
| Is Organization Subpart | Y |
| Parent Organization Name | CASCADE CONNECTIONS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | PROVIDERONE ID | 1117241 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918656 | Cascade Connections | Public Health or Welfare | 1611 N State St, Bellingham, WA 98225-4602 | 2017-12-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CASCADE CONNECTIONS | 1354 Pacific Pl, Ste 101, Ferndale, WA 98248-7817 |
| Washington State Corporations | CASCADE CONNECTIONS FOUNDATION | 1354 Pacific Pl Ste 101, Ferndale, WA 98248-7817 |
| Street Address |
1354 PACIFIC PLACE SUITE 101 |
| City | FERNDALE |
| State | WA |
| Zip Code | 98248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073135976 | Amrit Kaur | Respiratory Therapist, Certified | 6158 North Star Rd, Ferndale, WA 98248 | 2020-05-13 |
| 1437668563 | Marcie Ann Logan | Registered Nurse | 5661 Eagle Parkway, Apt. 4, Ferndale, WA 98248 | 2017-09-20 |
| 1215468640 | Crystal Dawn Phipps | Pharmacist | 5655 3rd Ave., Ferndale, WA 98248 | 2017-03-27 |
| 1295143568 | Marion L Winisky | Registered Nurse | 2350 Douglas Rd #40, Ferndale, WA 98248 | 2014-07-30 |
| 1225472186 | Loops Flexbrush, LLC | Durable Medical Equipment & Medical Supplies | 7152 Everett Rd, Ferndale, WA 98248 | 2013-04-23 |
| 1982984043 | Anthony Allen Gardiner | Dentist | 2030 Alder St, Ferndale, WA 98248 | 2011-08-22 |
| 1942592696 | Norman Tang | Pharmacist | 2057 Alder Street, Ferndale, WA 98248 | 2011-05-12 |
| 1316178692 | Linh T Vu | Dentist | 2086 Main St, Ferndale, WA 98248 | 2009-08-04 |
| 1770724965 | Michael Alexander Glen | Pharmacist | Haggen Food and Pharmacy, 1815 Main Street, Ferndale, WA 98248 | 2009-03-17 |
| 1942440052 | Samuel G Browning | Family Medicine | 5616 3rd Ave., Ferndale, WA 98248 | 2009-03-02 |
| Find all providers in zip 98248 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114537768 | Sea - Mar Community Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1040 S Henderson St Fl 3, Seattle, WA 98108-4720 | 2020-08-07 |
| 1205330164 | Valley Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 240 Bush St, Walla Walla, WA 99362-2618 | 2018-03-23 |
| 1730315961 | Ambitions of Washington, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 511 N Argonne Rd Ste 200, Spokane Valley, WA 99212-2878 | 2009-06-02 |
| 1326288762 | Healing Heart Home Health Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1756 106th St S # B-101, Parkland, WA 98444-8827 | 2009-02-25 |
| 1346459138 | Rocky Bay Health Care Facility | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17526 State Route 302 Kp N, Gig Harbor, WA 98329-5672 | 2007-05-21 |
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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.