Cascade Behavioral Hospital LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

CASCADE BEHAVIORAL HOSPITAL LLC

Practice address

12844 Military Rd S
Tukwila, WA 98168-3045

Phone

(615) 861-6000

NPI assigned

Oct 14, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Christopher L Howard

Title

VP & Secretary

Phone

(615) 861-6000

Specialties & licenses 3

Addresses

Other names 1

• Cascade Behavioral Health Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 500087

Legal name

RIVERTON GENERAL HOSPITAL

Certification status

Terminated Voluntary: merger or closure, Aug 14, 1989

Provider type (POS)

Hospital – Short-term

Participating since

Jul 27, 1981

Last certification

Aug 28, 1989

Beds

142

Ownership / control type

Other

Most recent change of ownership

Apr 1, 1982 (1 total)

Facility address

12844 Military Road
Seattle, WA 98168

Hospital certification: CCN 500145

Legal name

NW REG HOSP FOR RESP AND COMPLEX CARE

Certification status

Terminated Voluntary: other reason for withdrawal, Jun 30, 1994

Provider type (POS)

Hospital – Short-term

Participating since

Dec 28, 1993

Last certification

Dec 21, 1993

Beds

17

Ownership / control type

Private (not for profit)

Facility address

12844 Military Road South
Seattle, WA 98168

Hospital certification: CCN 504011

Legal name

CASCADE BEHAVIORAL HOSPITAL

Certification status

Terminated Voluntary: merger or closure, Aug 1, 2023

Provider type (POS)

Hospital – Psychiatric

Participating since

Feb 26, 2014

Last certification

Dec 22, 2016

Beds

135

Ownership / control type

Private (for profit)

Facility address

12844 Military Road South
Tukwila, WA 98168

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1124456967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 TOWER CIR STE 1000",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370671509",
            "telephone_number": "615-861-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12844 MILITARY RD S",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683045",
            "telephone_number": "615-861-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 114th Ave SE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980046928",
            "country_code": "US",
            "telephone_number": "206-248-4787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CASCADE BEHAVIORAL HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maureen Kay Carroll, MHP, AAC
• Erin Carruth, M.A., L.M.H.C.
• Melisa D Carson-Goldie, LW61506240
• Brandon Christopher Carson
• Cheryl Teresa Carter, MS, LMHCA, CDPT
• Cascade Behavioral Hospital, LLC
• Austen Jill Case, MACP
• Chelsie Casey
• Carmen Cassity, D.C.
• Jasmine Casteel

• Psychiatric Hospital in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Psychiatric Hospital in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.