Royal Wa Spokane LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

ROYAL WA SPOKANE LLC

Doing business as

Royal Life Centers

Practice address

14525 N Newport Hwy
Mead, WA 99021-9636

Phone

(855) 468-3369

NPI assigned

Jan 12, 2022

Last updated

May 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janice Vaysberg

Title

Cfo

Phone

(847) 345-5541

Specialties & licenses 1

Addresses

Other names 1

• Royal Life Centers Doing business as

Tax ID family

Royal Life Centers2 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.

• Royal Wa Spokane LLC

  • Psychiatric Hospital
  • Spokane, WA
  • NPI 1013668235
  NPD tax ID

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

{
    "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"
        }
    ]
}

• Renewed Roots NW LLC
• Nigell Reyes
• Colleen Rittenour
• Ronald J. Will D.D.S., PLLC (Mt, Spokane Dental)
• Royal Life Centers, LLC
• Emer Simpson, CDP
• Spokane County Fire Protection District 9
• Rhayne Storme, LMP
• Therapeutic Associates Inc (TAI Mount Spokane Physical Therapy)
• Ellie Louise Vandervert

• Substance Use Disorder Rehabilitation Clinic/Center in Mead, WA
• Providers in Mead, WA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Washington

• 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.

Verify at the official NPI Registry.