HAZEL DELL VENTURES LLC (NPI# 1447387626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447387626 |
| Entity Type | Organization |
| Organization Name | HAZEL DELL VENTURES LLC |
| Other Organization Name | PRESTIGE ASSISTED LIVING AT HAZEL DELL |
| Practice Address |
7514 Ne 13th Ave Vancouver WA 98665-0458 |
| Mailing Address |
7700 Ne Parkway Dr Suite 300 Vancouver WA 98662-6648 |
| Practice Telephone | 3606932402 |
| Practice Fax Number | 3606935011 |
| Mailing Telephone | 3607357155 |
| Mailing Fax Number | 3607359416 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GREGORY J VISLOCKY (MANAGING MEMBER) |
| Authorized Official Telephone | 3607357155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | BH 1615 | WA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 995961 | 05 |
| Other Name | Type Code |
|---|---|
| Prestige Assisted Living at Hazel Dell | Doing Business As Name - Organization |
| Street Address |
7514 NE 13TH AVE |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98665-0458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584877 | Always Smiles Dentistry | Dentist | 910 Ne Minnehaha St #12, Vancouver, WA 98665 | 2018-10-19 |
| 1255811196 | Rachael Hickert | Counselor | 1179 Northeast 95th Street, Vancouver, WA 98665 | 2018-08-20 |
| 1063899011 | Edward Michael Borromeo | Massage Therapist | 8500 Ne Hazel Dell Ave Apt. B4, Vancouver, WA 98665 | 2015-04-29 |
| 1033460811 | Gretchen Ann Bell | Speech-Language Pathologist | 511 Ne Anderson Road, Vancouver, WA 98665 | 2012-09-20 |
| 1831322379 | Diana Miriam Copeland | Massage Therapist | 517 Ne 85th Cir, Vancouver, WA 98665 | 2009-09-01 |
| 1073782116 | Roxanne Marie Brown | Contractor | 7902 Ne St. Johns Rd. Ste 105a, Vancouver, WA 98665 | 2008-02-22 |
| 1588726657 | Emil V. Knysh | Contractor | 1307-b Ne 78th. Street, Suite #3, Vancouver, WA 98665 | 2006-12-15 |
| 1275611501 | Jerry L Reams | Contractor | 1307b Ne 78th St., Suite 3, Vancouver, WA 98665 | 2006-11-02 |
| 1053409961 | Richard C. Sheron Dmd Ps | Dentist | 1200 Ne 99th Street, Vancouver, WA 98665 | 2006-10-10 |
| 1316048887 | Frank Roberts Mossman | Optometrist | 7600 Hazeldell Ave, Vancouver, WA 98665 | 2006-09-26 |
| Find all providers in zip 98665 | ||||
| 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 |
|---|---|---|---|---|
| 1114494432 | Columbia Vista Afh Inc | Assisted Living Facility | 7418 Se Evergreen Hwy, Vancouver, WA 98664-1718 | 2018-10-24 |
| 1629517529 | Ai Helmer | Assisted Living Facility | 13011 Ne 71st St, Vancouver, WA 98682-4861 | 2017-02-13 |
| 1427490887 | Riverside Afh | Assisted Living Facility | 7410 Se Evergreen Hwy, Vancouver, WA 98664-1718 | 2013-07-25 |
| 1912271289 | Retirement Centers Northwest Inc | Assisted Living Facility | 7808 Ne 51st St, Vancouver, WA 98662-6207 | 2012-03-02 |
| 1518239409 | Merrill Gardens, LLC | Assisted Living Facility | 10011 Ne 118th Ave, Vancouver, WA 98682-2784 | 2012-02-07 |
| 1043582208 | Windsor Gardens Inc. | Assisted Living Facility | 1602 Ne 162nd Ave, Vancouver, WA 98684-9426 | 2012-02-03 |
| 1790066793 | Glenwood Place Senior Living, LLC | Assisted Living Facility | 5500 Ne 82nd Ave, Vancouver, WA 98662-9410 | 2011-09-02 |
| 1447584594 | Park Lido, Inc. | Assisted Living Facility | 8422 Ne 8th Way, Vancouver, WA 98664-1974 | 2009-09-22 |
| 1992825921 | Vancouver Senior Living, LLC | Assisted Living Facility | 17171 Se 22nd Dr, Vancouver, WA 98683-3309 | 2007-03-31 |
| 1457477994 | Assisted Living Concepts Inc | Assisted Living Facility | 2610 Se 164th Avenue, Vancouver, WA 98683 | 2007-03-22 |
| Find all providers in VANCOUVER | ||||
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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.