Organization Active NPI

Columbia Vista Afh Inc

Doing business as Columbia Vista AFH

  • Assisted Living Facility
  • Vancouver, WA
National Provider Identifier
1114494432
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
COLUMBIA VISTA AFH INC
Doing business as
Columbia Vista AFH
Columbia Vista AFH Inc
Practice address
7418 SE Evergreen Hwy
Vancouver, WA 98664-1718
Phone
(360) 975-9814
Fax
(360) 597-4935
NPI assigned
Oct 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Authorized official

Name
Ms. Eyta Darguzhene, RN
Title
President
Phone
(360) 975-9814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7418 SE Evergreen Hwy
Vancouver, WA 98664-1718

Mailing address

7418 SE Evergreen Hwy
Vancouver, WA 98664-1718
Phone (360) 975-9814

Other names 2

  • Columbia Vista AFH Doing business as
  • Columbia Vista AFH Inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1114494432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7418 SE EVERGREEN HWY",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641718",
            "telephone_number": "360-975-9814",
            "fax_number": "360-597-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7418 SE EVERGREEN HWY",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641718",
            "telephone_number": "360-975-9814",
            "fax_number": "360-597-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA VISTA AFH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "DARGUZHENE",
        "authorized_official_first_name": "EYTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-975-9814",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Vista AFH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Columbia Vista AFH Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.