Sullivan Cottages, L.L.C.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SULLIVAN COTTAGES, L.L.C.

Doing business as

Sullivan Park Cottages

Practice address

411 S Adams Rd
Spokane Valley, WA 99216-2287

Phone

(509) 924-5555

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

• Sullivan Park Cottages 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": "1154948065",
    "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": "411 S ADAMS RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162287",
            "telephone_number": "509-924-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN COTTAGES, 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": "Sullivan Park Cottages",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher W Sturbaum, MD
• Rosemond Marie Styczinski, LMP
• Stephanie Suarez
• Chadd Sukut, MD
• Sullivan Alf Community Healthcare LLC
• Sullivan Ilf Community Healthcare LLC
• Sullivan SNF Healthcare LLC
• Sullivan Ventures LLC
• Geri Mae Sullivan, LPN
• Tammy K. Sullivan, RPH

• Assisted Living Facility in Spokane Valley, WA
• Providers in Spokane Valley, 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.