Active NPI
L'Arche Spokane
- Adult Care Home Facility
- Spokane, WA
National Provider Identifier
1053736280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 223400
- Legal business name
- L'ARCHE SPOKANE
- Practice address
- 703 E Nora Ave
Spokane, WA 99207-2455 - Phone
- (509) 483-0438
- Fax
- (509) 483-0460
- NPI assigned
- Feb 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael D Miller
- Title
- President, Board of Directors
- Phone
- (509) 991-4141
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 223400 | WA | Primary |
| Adult Care Home Facility | 311ZA0620X | 617400 | WA |
Addresses
Primary practice location
703 E Nora Ave
Spokane, WA 99207-2455
Mailing address
703 E Nora Ave
Spokane, WA 99207-2455
Phone (509) 483-0438
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 864678 | Other | WA | WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES |
| 849360 | Other | WA | WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES |
Other names 1
- L'Arche of Spokane
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2266230 | L'Arche Spokane | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393286400000",
"number": "1053736280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 E NORA AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992072455",
"telephone_number": "509-483-0438",
"fax_number": "509-483-0460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 E NORA AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992072455",
"telephone_number": "509-483-0438",
"fax_number": "509-483-0460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "L'ARCHE SPOKANE",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-25",
"last_updated": "2014-02-25",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT, BOARD OF DIRECTORS",
"authorized_official_telephone_number": "509-991-4141"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "WA",
"license": "223400",
"primary": true
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "WA",
"license": "617400",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES",
"identifier": "864678",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES",
"identifier": "849360",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "L'Arche of Spokane",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.