Organization Active NPI

Barclay Benjamin LLC

Doing business as Maplewood Gardens

  • Assisted Living Facility
  • Spokane, WA
National Provider Identifier
1215197215
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
BH1806 Issued in WA
Legal business name
BARCLAY BENJAMIN LLC
Doing business as
Maplewood Gardens
Practice address
1100 N Superior St
Spokane, WA 99202-2002
Phone
(509) 489-9510
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Mrs. Karen Lynn Burgerson
Title
Administrator
Phone
(509) 489-9510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X BH1806 WA Primary

Addresses

Primary practice location

1100 N Superior St
Spokane, WA 99202-2002

Mailing address

1100 N Superior St
Spokane, WA 99202-2002
Phone (509) 489-9510

Other identifiers 1

IdentifierTypeStateIssuer
613427MedicaidWA

Other names 1

  • MAPLEWOOD GARDENS Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2303170Maplewood Gardens Assisted Living Community1100 N Superior St, Spokane, WA 99202Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1215197215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N SUPERIOR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022002",
            "telephone_number": "509-489-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N SUPERIOR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022002",
            "telephone_number": "509-489-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARCLAY BENJAMIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "BURGERSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-489-9510",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "BH1806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "613427",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAPLEWOOD GARDENS",
            "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 Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.