Cascade Medical Investors Limited Partnership

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH1199 Issued in WA

Legal business name

CASCADE MEDICAL INVESTORS LIMITED PARTNERSHIP

Practice address

2031 Pottery Ave
Port Orchard, WA 98366-2010

Phone

(360) 876-8035

Fax

(360) 895-0975

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Cindy S. Cross

Title

Assistant Secretary

Phone

(423) 473-5867

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Life Care Center of Port Orchard Doing business as

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1124073515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 POTTERY AVE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983662010",
            "telephone_number": "360-876-8035",
            "fax_number": "360-895-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE MEDICAL INVESTORS LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "NH1199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4111993",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Care Center of Port Orchard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa L Carpenter
• Leah Grace Carroll, MS, CCC-SLP
• Andrew David Carter, M.A.
• Destiny Brooke Carter
• Marieta Sharon Cartwright, LMP
• Michelle V Castro, MA, LMHC, SUDP
• Catherine L. Murray, Psy.D., L.M.F.T., Inc. P.S.
• Kendra Cecil
• McKayla Cernich, RN
• CG Counseling Services PLLC

• Skilled Nursing Facility in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.