Active NPI
Royal Wa Spokane LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Mead, WA
National Provider Identifier
1013668078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- ROYAL WA SPOKANE LLC
- Practice address
- 14525 N Newport Hwy
Mead, WA 99021-9636 - Phone
- (855) 468-3369
- NPI assigned
- Jan 12, 2022
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Janice Vaysberg
- Title
- Cfo
- Phone
- (847) 345-5541
National Provider Directory
National Provider Directory- Tax ID family
- Royal Life Centers
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Spokane, WA
- NPI 1013668235
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
14525 N Newport Hwy
Mead, WA 99021-9636
Mailing address
1590 S Congress Ave
Palm Springs, FL 33406-5957
Phone (347) 693-4239
Other names 1
NPPES NPI Registry- Royal Life Centers
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2025.
{
"created_epoch": "1641945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747699200000",
"number": "1013668078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1590 S CONGRESS AVE",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334065957",
"telephone_number": "347-693-4239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14525 N NEWPORT HWY",
"city": "MEAD",
"state": "WA",
"postal_code": "990219636",
"telephone_number": "855-468-3369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROYAL WA SPOKANE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-12",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A",
"authorized_official_last_name": "VAYSBERG",
"authorized_official_first_name": "JANICE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "847-345-5541"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Royal Life Centers",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Royal Life Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mead, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.