Chehalis West Assisted Living Center Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CHEHALIS WEST ASSISTED LIVING CENTER INC

Practice address

478 NW Quincy PL
Chehalis, WA 98532-1628

Phone

(360) 748-9911

Fax

(360) 748-4642

NPI assigned

Jun 24, 2020

Last updated

Jul 7, 2020By 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

Mrs. Stefanie L Wahl

Title

Bookkeeper

Phone

(360) 748-9911

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1073139119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 NW QUINCY PL",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985321628",
            "telephone_number": "360-748-9911",
            "fax_number": "360-748-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 NW QUINCY PL",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985321628",
            "telephone_number": "360-748-9911",
            "fax_number": "360-748-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEHALIS WEST ASSISTED LIVING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "WAHL",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "360-748-9911",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111783901",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendall J Charles
• Erin N Chase, ARNP
• Chehalis Children's Clinic PS
• Chehalis Chiropractic Clinic, PS
• Chehalis School District
• Joseph Seung Chinn
• Michelle M Chisholm, SUDP
• John H Cho, DDS
• Joshua Christensen, AAS, SUDP
• Paul Y Chung, MD

• Assisted Living Facility in Chehalis, WA
• Providers in Chehalis, 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 7, 2020; 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.