MCP Cooks Hill Wa Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MCP COOKS HILL WA OPCO LLC

Practice address

2010 Cooks Hill Rd
Centralia, WA 98531-8832

Phone

(360) 330-2010

NPI assigned

Jun 22, 2020

Organization subpart

No

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

Authorized official

Name

Michael Graham

Title

President

Phone

(214) 443-8329

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1174149447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12377 MERIT DR STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 COOKS HILL RD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985318832",
            "telephone_number": "360-330-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCP COOKS HILL WA OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-443-8329"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy L McKinney
• Taylor Marlane McLynne, BS, R-AAC
• Natalie McMillion, BS, AAC
• Rebecca Kathryn McNeil, MA, LPC
• Nancy Anna McNichol, LMT RN
• Dorothy Kareen McPherson
• Shanna Meador, LPN
• Julia E. Meaker, LMP
• Myrna R Medford
• Medical Massage Inc

• Assisted Living Facility in Centralia, WA
• Providers in Centralia, 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 22, 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.