Active NPI
Sapphire at Moran Vista, LLC
- Assisted Living Facility
- Spokane, WA
National Provider Identifier
1194310672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SAPPHIRE AT MORAN VISTA, LLC
- Doing business as
- Moran Vista Senior Living
- Practice address
- 3319 E 57TH Ave
Spokane, WA 99223-7022 - Phone
- (509) 443-1944
- NPI assigned
- Mar 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Michael Ricker
- Title
- Managing Member
- Phone
- (503) 887-7395
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
3319 E 57TH Ave
Spokane, WA 99223-7022
Mailing address
127 NE 102ND Ave Ste a
Portland, OR 97220-4152
Phone (503) 887-7395
Other names 1
- Moran Vista Senior Living
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731024000000",
"number": "1194310672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 NE 102ND AVE STE A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972204152",
"telephone_number": "503-887-7395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3319 E 57TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992237022",
"telephone_number": "509-443-1944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAPPHIRE AT MORAN VISTA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-05",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A",
"authorized_official_last_name": "RICKER",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "503-887-7395"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Moran Vista Senior Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.