OUR LADY OF LOURDES AT PASCO (NPI# 1992859078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992859078 |
Entity Type | Organization |
Organization Name | OUR LADY OF LOURDES AT PASCO |
Other Organization Name | LOURDES WILSON HOUSE |
Practice Address |
224 N 7th Ave Pasco WA 99301-5411 |
Practice Telephone | 5095453390 |
Practice Fax Number | 5095432488 |
Mailing Telephone | 5095453390 |
Mailing Fax Number | 5095432488 |
Enumeration Date | 2007-01-23 |
Last Update Date | 2020-08-22 |
Authorized Official Name | FOHN SERLE (PRESIDENT & CEO) |
Authorized Official Telephone | 5095432483 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | WA | Agencies |
Other Name | Type Code |
---|---|
LOURDES WILSON HOUSE | Doing Business As Name - Organization |
Street Address |
224 N 7TH AVE |
City | PASCO |
State | WA |
Zip Code | 99301-5411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609494954 | Danette Ramirez Cap | Registered Nurse | 224 N 7th Ave, Pasco, WA 99301-5411 | 2020-07-13 |
1184273625 | Sharalyne Maire Holmes | Registered Nurse | 224 N 7th Ave, Pasco, WA 99301-5411 | 2019-09-07 |
1053972232 | Amanda Goodman | Counselor | 224 N 7th Ave, Pasco, WA 99301-5411 | 2019-06-27 |
1689234908 | Christine Marie Carr | Counselor | 224 N 7th Ave, Pasco, WA 99301-5411 | 2019-06-18 |
1184106981 | Jose Chavez | Counselor | 224 N 7th Ave, Pasco, WA 99301-5411 | 2018-08-29 |
1134634777 | Vincent Patrick Zamora | Counselor | 224 N 7th Ave, Pasco, WA 99301-5411 | 2017-12-05 |
1669983862 | Cory Bruss | Counselor | 224 N 7th Ave, Pasco, WA 99301-5411 | 2017-10-16 |
1154848497 | Angela Ann Arnott | Counselor | 224 N 7th Ave, Pasco, WA 99301-5411 | 2017-08-28 |
1790209872 | Benjamin Michel Di Biase | Counselor | 224 N 7th Ave, Pasco, WA 99301-5411 | 2017-07-31 |
1881120293 | Eliane Tshikudi Kahambwe | Counselor | 224 N 7th Ave, Pasco, WA 99301-5411 | 2017-05-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710504550 | Kayshuv Enterprises | Pharmacy | 7505 Sandifur Pkwy, Suite 102, Pasco, WA 99301 | 2020-06-27 |
1558883157 | Cecilia Carmen Asenjo | Registered Nurse | 715 W Court Street, Pasco, WA 99301 | 2017-07-14 |
1528451085 | Felix Ramos | Dentist | 7425 Wrigley Dr Ste 201, Pasco, WA 99301 | 2015-03-09 |
1861896631 | Tri-cities Community Health | General Practice | 1801 E Sheppard St, Pasco, WA 99301 | 2014-10-22 |
1649617861 | Thompson.ferguson,steinhart. James.pllc | Dentist | 6525 Burden Blvd, Pasco, WA 99301 | 2013-05-29 |
1598008880 | Thompson. Ferguson. Steinhart. James, Pllc | Dentist | 6525 Burden Boulevard, Pasco, WA 99301 | 2013-04-04 |
1639421720 | Comprehensive Healthcare | Community/Behavioral Health | 2715 Saint Andrews Loop, Suite C, Pasco, WA 99301 | 2012-10-12 |
1497065395 | Danny M Trapp Jr. | Counselor | 516 W. Margaret, Pasco, WA 99301 | 2010-10-14 |
1740510486 | Columbia Basin College | Dental Hygienist | 2600 N 20th Ave, Ms T-1, Pasco, WA 99301 | 2009-12-31 |
1417286386 | Wanda Marie Good | Surgery | 1200 N 14th Ave Ste 255, Pasco, WA 99301 | 2009-12-23 |
Find all providers in zip 99301 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265076954 | Rose Almanza | Day Training, Developmentally Disabled Services | 1841 Gap Rd, Granger, WA 98932-9487 | 2019-11-05 |
1790342095 | The Artisans Ark | Day Training, Developmentally Disabled Services | 4019 E Central Ave, Spokane, WA 99217 | 2019-05-22 |
1780140905 | Workathon LLC | Day Training, Developmentally Disabled Services | 12627 Se 83rd Ct, Newcastle, WA 98056-9185 | 2019-02-12 |
1861982100 | Skills Inc. | Day Training, Developmentally Disabled Services | 715 30th St Ne, Auburn, WA 98002-2479 | 2018-05-11 |
1174021794 | Chinook Enterprises | Day Training, Developmentally Disabled Services | 2026 N Laventure Rd, Mount Vernon, WA 98273-5807 | 2018-01-29 |
1144736547 | Elmview | Day Training, Developmentally Disabled Services | 204 E 6th Ave, Ellensburg, WA 98926-3136 | 2017-12-20 |
1174068464 | Mybestbehavior, LLC | Day Training, Developmentally Disabled Services | 1220 Main St Ste 424, Vancouver, WA 98660-2953 | 2016-12-22 |
1649712449 | Yakima Specialties, Inc | Day Training, Developmentally Disabled Services | 1819 W J St, Yakima, WA 98902-1227 | 2016-11-09 |
1033662309 | Acren Health Care Inc | Day Training, Developmentally Disabled Services | 21713 80th Ave W, 2, Edmonds, WA 98026-7808 | 2016-08-03 |
1649645524 | Northwest's Child | Day Training, Developmentally Disabled Services | 1823 N 85th St, Seattle, WA 98103-4107 | 2015-12-03 |
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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.