Organization Active NPI

L'Arche Spokane

  • Adult Care Home Facility
  • Spokane, WA
National Provider Identifier
1053736280
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
223400 Issued in WA
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

Updated by the provider on Feb 25, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
864678OtherWAWASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES
849360OtherWAWASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES

Other names 1

  • L'Arche of Spokane Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2266230L'Arche Spokane703 E Nora Ave, Spokane, WA 99207Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.