Cascade Park Care Center/Life Care Centers of America

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

OT00004130 Issued in WA

Legal business name

CASCADE PARK CARE CENTER/LIFE CARE CENTERS OF AMERICA

Practice address

801 SE Park Crest Ave
Vancouver, WA 98683-1300

Phone

(360) 260-2200

NPI assigned

Oct 6, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Carla Regina Bach, OTR/L, CAPS

Title

Occupational Therapist

Phone

(360) 989-8802

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1053695262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 NW 22ND AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044699",
            "telephone_number": "360-989-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SE PARK CREST AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986831300",
            "telephone_number": "360-260-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE PARK CARE CENTER/LIFE CARE CENTERS OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "BACH",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "REGINA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "360-989-8802",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L, CAPS"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "OT00004130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cascade Holistic Health Care PLLC
• Cascade Inn Limited Partnership
• Cascade Inn, LP
• Cascade Medical Investors Limited Partnership
• Cascade Medical Supply, Inc.
• Cascade Park Chiropractic Clinic PLLC
• Cascade Park Pharmacy Inc
• Cascade Park Specialty Care Home LLC
• Cascade Park Sports Medicine & Rehab Clinic PLLC
• Cascade Pathology Services, Corp

• Skilled Nursing Facility in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.