NORTH CENTRAL CARE CENTER, INC. (NPI# 1962496745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962496745 |
| Entity Type | Organization |
| Organization Name | NORTH CENTRAL CARE CENTER, INC. |
| Other Organization Name | NORTH CENTRAL CARE AND REHABILITATION |
| Practice Address |
1812 N Wall Street Spokane WA 99205-4606 |
| Practice Telephone | 5093286030 |
| Practice Fax Number | 5093277026 |
| Mailing Telephone | 5093286030 |
| Mailing Fax Number | 5093277026 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2013-05-01 |
| Authorized Official Name | MR. NORMAN RANDALL HYATT (CFO) |
| Authorized Official Telephone | 5092487379 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | NH1144 | WA | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 1144 | WA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 4111449 | 05 |
| Other Name | Type Code |
|---|---|
| North Central Care and Rehabilitation | Doing Business As Name - Organization |
| Street Address |
1812 N WALL STREET |
| City | SPOKANE |
| State | WA |
| Zip Code | 99205-4606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275027740 | Jill Sanders | Behavior Technician | 1104 West Wellesley, Spokane, Wa, United States, Ste D, Spokane, WA 99205 | 2018-06-19 |
| 1265981997 | Lorraine Jeanette Diricco | Registered Nurse | 1717 W Francis Ave Ste 204, Spokane, WA 99205 | 2016-09-22 |
| 1992156749 | Dane Sultzer | Optometrist | 1123 W Fairview Ave, Spokane, WA 99205 | 2016-06-23 |
| 1770975864 | Trevor George | Naturopath | 3710 N Monroe, Spokane, WA 99205 | 2015-02-26 |
| 1003246661 | Rita Y Flanagan | Psychologist | 4815 N Assembly St, Room B256, Spokane Va Medical Center, Spokane, WA 99205 | 2013-11-19 |
| 1649616277 | Mary Anyango Okello | Nurse's Aide | 3614 W. Wellesley Ave, Spokane, WA 99205 | 2013-05-22 |
| 1710242367 | Amy Clement | Dentist | 4815 N Assembly St., Spokane, WA 99205 | 2012-07-10 |
| 1114202082 | Teresa J Stella | Pharmacist | 3919 N. Maple St., Spokane, WA 99205 | 2011-10-11 |
| 1184905218 | James Anthony Carnell | Dentist | 4610 N. Ash St., (suite 204), Spokane, WA 99205 | 2011-09-02 |
| 1508150632 | Jennifer Leigh Knuston | Social Worker | 207 W Nora Ave, Spokane, WA 99205 | 2011-06-06 |
| Find all providers in zip 99205 | ||||
| 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 |
|---|---|---|---|---|
| 1063671030 | Waterford On The South Hill | Skilled Nursing Facility | 2999 S Waterford Dr, Spokane, WA 99203-4410 | 2008-06-05 |
| 1326119017 | Franklin Hills Health - Spokane LLC | Skilled Nursing Facility | 6021 N Lidgerwood St, Spokane, WA 99208-1125 | 2006-11-13 |
| 1306950472 | Spokane United Methodist Homes | Skilled Nursing Facility | 101 E Hawthorne Rd, Spokane, WA 99218-1463 | 2006-08-18 |
| 1467497511 | Manor Care of Spokane Wa, Association | Skilled Nursing Facility | 6025 N Assembly St, Spokane, WA 99205-7674 | 2006-06-20 |
| 1720028509 | Touchmark On South Hill Lp | Skilled Nursing Facility | 2929 S Waterford Dr, Spokane, WA 99203-4400 | 2006-06-08 |
| 1245284835 | Consolidated Resources Health Care Fund I, L.p. | Skilled Nursing Facility | 3600 E Hartson Ave, Spokane, WA 99202-5102 | 2006-05-19 |
| 1154381358 | Riverview Lutheran Retirement Community of Spokane | Skilled Nursing Facility | 1841 E Upriver Dr, Spokane, WA 99207-5164 | 2006-03-23 |
| 1851381032 | Department of Veterans Affairs Spokane Veterans Home | Skilled Nursing Facility | 222 E 5th Ave, Spokane, WA 99202-1394 | 2005-10-27 |
| 1326033622 | Providence Health Care | Skilled Nursing Facility | 17 E 8th Ave, Spokane, WA 99202-1201 | 2005-09-13 |
| 1376538637 | Spokane Royal Park Care, LLC | Skilled Nursing Facility | 7411 North Nevada Street, Spokane, WA 99208-5518 | 2005-09-13 |
| Find all providers in SPOKANE | ||||
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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.