Moses Lake Operations LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MOSES LAKE OPERATIONS LLC

Doing business as

Avamere at Moses Lake

Practice address

8425 Aspi Blvd
Moses Lake, WA 98837-3615

Phone

(509) 762-9115

NPI assigned

Jul 8, 2018

Last updated

Jul 8, 2018By 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

Chris Olson

Title

Paralegal

Phone

(503) 570-3405

Specialties & licenses 1

Addresses

Other names 1

• Avamere at Moses Lake Doing business as

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

{
    "created_epoch": "1531008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531008000000",
    "number": "1063908556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE STE F",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8425 ASPI BLVD",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988373615",
            "telephone_number": "509-762-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES LAKE OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-08",
        "last_updated": "2018-07-08",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PARALEGAL",
        "authorized_official_telephone_number": "503-570-3405"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avamere at Moses Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Moses Lake Community Health Center
• Moses Lake Community Health Center
• Moses Lake Community Health Center
• Moses Lake Community Health Center
• Moses Lake Family Dentistry
• Moses Lake Orthodontics LLC
• Moses Lake Pediatric Dentistry
• Moses Lake Pediatric Dentistry
• Moses Lake School District
• Moses Lake Sports Physical Therapy, PS

• Assisted Living Facility in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2018; 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.