WEEPING RIDGE LAKE SPOKANE (NPI# 1770974248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770974248 |
| Entity Type | Organization |
| Organization Name | WEEPING RIDGE LAKE SPOKANE |
| Practice Address |
12402 Osprey Rd Nine Mile Falls WA 99026-5000 |
| Practice Telephone | 5099891843 |
| Mailing Telephone | 5099891843 |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |
| Authorized Official Name | ISRAEL RODRIGUEZ JR. (ADMINISTRATOR) |
| Authorized Official Telephone | 5099891843 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICAID AND MEDICARE | 123456 | 01 |
| Street Address |
12402 OSPREY RD |
| City | NINE MILE FALLS |
| State | WA |
| Zip Code | 99026-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689223885 | Jessica Garcia | Registered Nurse | 12402 Osprey Rd, Nine Mile Falls, WA 99026-5000 | 2019-09-10 |
| 1710341912 | Weeping Ridge North, LLC | Home Health | 12402 Osprey Rd, Nine Mile Falls, WA 99026-5000 | 2016-04-13 |
| 1982068144 | Israel Rodriguez | Registered Nurse | 12402 Osprey Rd, Nine Mile Falls, WA 99026-5000 | 2016-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669033288 | Suncrest Pharmacy Group, LLC | Pharmacy | 5919f Highway 291, Nine Mile Falls, WA 99026 | 2019-06-25 |
| 1003332172 | Linda Diane Odell | Registered Nurse | 15010 W Four Mound Rd, Nine Mile Falls, WA 99026 | 2017-08-20 |
| 1578679767 | Greater Spokane Therapies | Physical Therapist | W 13011 Shore Road, Nine Mile Falls, WA 99026 | 2006-08-22 |
| 1669601886 | Kevin Ted Nelson | Dentist | 5952 Blackstone Way Ste 100, Nine Mile Falls, WA 99026-4900 | 2009-07-09 |
| 1285604892 | June S Goldman | Family Medicine | 5952 Blackstone Way, Lake Spokane Community Health Center, Nine Mile Falls, WA 99026-4900 | 2006-01-25 |
| 1417426511 | New Health Programs Association | Pharmacy | 5952 Blackstone Way, Nine Mile Falls, WA 99026-4900 | 2018-11-19 |
| 1356816383 | Hyojin Meadows | Nurse Practitioner | 5952 Blackstone Way, Nine Mile Falls, WA 99026-4900 | 2018-10-05 |
| 1528410545 | Kylie Mccullough | Pharmacist | 5952 Blackstone Way, Nine Mile Falls, WA 99026-4900 | 2016-07-02 |
| 1275887705 | Matthew Peter Dinsmore | Nurse Practitioner | 5952 Blackstone Way, Nine Mile Falls, WA 99026-4900 | 2012-11-06 |
| 1235455932 | New Health Programs Association | Clinic/Center | 5952 Blackstone Way Ste 100, Nine Mile Falls, WA 99026-4900 | 2010-04-20 |
| Find all providers in zip 99026 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043810534 | Apple Creek, Inc. | Custodial Care Facility | 513 W Washington Ave, Yakima, WA 98903-1308 | 2020-10-26 |
| 1649877952 | Chase House LLC | Custodial Care Facility | 7006 Opal Ct Sw, Lakewood, WA 98498-6408 | 2020-10-08 |
| 1821603275 | Maria Sigheartau | Custodial Care Facility | 16228 Ne 100th St, Redmond, WA 98052-3039 | 2020-09-12 |
| 1154947802 | Allan's Place Extended Comfort Care LLC | Custodial Care Facility | 3134 E 15th Ave, Spokane, WA 99223-5110 | 2020-06-18 |
| 1780205633 | Dina Grib | Custodial Care Facility | 31408 8th Ave S, Federal Way, WA 98003-5302 | 2020-05-01 |
| 1699307769 | Jane Thuo | Custodial Care Facility | 11722 Ne 134th St, Kirkland, WA 98034-2130 | 2020-02-06 |
| 1982244034 | Careplus Adult Family Home Inc | Custodial Care Facility | 1923 149th St Sw, Lynnwood, WA 98087-6310 | 2020-01-07 |
| 1548804578 | Aurita Estudillo Tagle | Custodial Care Facility | 7015 Carolina Ln, Vancouver, WA 98664-1558 | 2019-11-02 |
| 1841846409 | Genteel Inc | Custodial Care Facility | 781 Kaynor Rd, Ellensburg, WA 98926-8691 | 2019-08-09 |
| 1114589033 | Deborah Nordberg | Custodial Care Facility | 203 S 77th Ave, Yakima, WA 98908-1513 | 2019-07-01 |
| Find all providers with the same taxonomy | ||||
| City | NINE MILE FALLS |
| Zip Code | 99026 |
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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.