MS. HOLLY RENEE CORDERO (NPI# 1992149777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992149777 |
| Entity Type | Individual |
| Full Name | MS. HOLLY RENEE CORDERO |
| Practice Address |
13224 E Tall Tree Rd Spokane Valley WA 99216-2411 |
| Practice Telephone | 5099241506 |
| Mailing Telephone | 5099241506 |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 364500 | WA | Residential Treatment Facilities |
| Street Address |
13224 E TALL TREE RD |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99216-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920124 | Aark Laboratory | Clinical Medical Laboratory | 12709 E Mirabeau Pkwy Bldg A Ste 500, Spokane, WA 99216 | 2020-07-24 |
| 1922622158 | Vera Whole Health Wa, PC | Clinic/Center | 16009 E Indiana Ave, Spokane Valley, WA 99216 | 2020-06-03 |
| 1023654001 | Rebecca Elizabeth Ryan | Massage Therapist | 12505 E 23rd Ave, Spokane Valley, WA 99216 | 2019-11-25 |
| 1356992903 | Creative Communication LLC | Speech-Language Pathologist | 13607 E. Sprague Ave, Spokane Valley, WA 99216 | 2019-09-25 |
| 1972096584 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15319 E Indiana Ave Ste 2, Spokane Valley, WA 99216 | 2018-06-08 |
| 1356845655 | Rp Operations, LLC | Assisted Living Facility | 13013 E Mission Ave, Spokane Valley, WA 99216 | 2018-03-21 |
| 1174036305 | Talk, Learn and Communicate | Speech-Language Pathologist | 13607 East Spraque Avenue, Spokane Valley, WA 99216 | 2017-11-09 |
| 1134638281 | Vtc Vitality Healthcare | Pain Medicine | 12409 E Mission Ave Ste 102, Spokane Valley, WA 99216 | 2017-09-20 |
| 1285150086 | Robert C Tsay Jr. | Pharmacist | 12415 E 12th Ave, Apt 110, Spokane Valley, WA 99216 | 2017-08-15 |
| 1629505607 | Spokane Valley Medical, Inc | Durable Medical Equipment & Medical Supplies | 12509 E. Mission Ave, Suite #103, Spokane, WA 99216 | 2017-05-22 |
| Find all providers in zip 99216 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063717189 | Healthcare Harmony LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11406 E Fairview Ave, Spokane Valley, WA 99206-4687 | 2011-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366820029 | Marina Tikhonova | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2419 E 8th Ave, Spokane, WA 99202-4213 | 2015-05-14 |
| 1700200011 | Stonewall Residential Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 28921 N. River Estates, Chattaroy, WA 99003 | 2014-02-06 |
| 1538409826 | Life Works | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 906 New York St, Longview, WA 98632-4132 | 2013-02-22 |
| 1790038420 | Jody Lyn Genuard | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2012-10-18 |
| 1568625622 | Lyneeka Janee Collins | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 811 Madison St, Everett, WA 98203-4543 | 2008-07-08 |
| 1164547626 | Rainier State School | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2120 Ryan Rd, Buckley, WA 98321-9115 | 2007-03-20 |
| City | SPOKANE VALLEY |
| Zip Code | 99216 |
Please comment or provide details below to improve the information on MS. HOLLY RENEE CORDERO.
| 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.