Gig Harbor Ventures, L.L.C.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GIG HARBOR VENTURES, L.L.C.

Practice address

3025 14TH Ave NW
Gig Harbor, WA 98335-1635

Phone

(253) 851-5306

NPI assigned

Jun 26, 2020

Organization subpart

No

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

Authorized official

Name

Gregory Vislocky

Title

Managing Member

Phone

(360) 735-7155

Specialties & licenses 1

Addresses

Other names 1

• Olympic Alzheimer's Residence Doing business as

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1104443001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 NE PARKWAY DR STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 14TH AVE NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351635",
            "telephone_number": "253-851-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIG HARBOR VENTURES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "VISLOCKY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "360-735-7155"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Alzheimer's Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gig Harbor Naturopathic Medicine PS
• Gig Harbor Operations, LLC
• Gig Harbor Pediatric Occupational Therapy LLC
• Gig Harbor Primary Care LLC
• Gig Harbor SNF Operations LLC
• Gig Harbor Vision Center PS
• Gig Harbor Wellness, PS
• Benjamin Troy Gilkison, DPT
• Jamie Gillen, PH.D.
• Michael B Gillette, DPT

• Assisted Living Facility in Gig Harbor, WA
• Providers in Gig Harbor, 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 Jun 26, 2020; 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.