Organization Active NPI

Cascade Inn, LP

  • Respite Care
  • Vancouver, WA
National Provider Identifier
1003027350
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
784 Issued in WA
Legal business name
CASCADE INN, LP
Practice address
11613 SE 7TH St
Vancouver, WA 98683-5213
Phone
(360) 254-3555
Fax
(360) 253-2727
NPI assigned
May 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Garth Robert Brandt
Title
Vice President, Operation
Phone
(360) 867-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 784 WA Primary

Addresses

Primary practice location

11613 SE 7TH St
Vancouver, WA 98683-5213

Mailing address

4912 Keating Rd NW
Olympia, WA 98502-9535
Phone (360) 867-1900

Other names 1

  • Koelsch Senior Communities, LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Cascade Inn2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003027350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 KEATING RD NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985029535",
            "telephone_number": "360-867-1900",
            "fax_number": "360-867-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11613 SE 7TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835213",
            "telephone_number": "360-254-3555",
            "fax_number": "360-253-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE INN, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "GARTH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT, OPERATION",
        "authorized_official_telephone_number": "360-867-1900"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "WA",
            "license": "784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koelsch Senior Communities, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.