Ahr College Place Wa Alf TRS Sub LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

AHR COLLEGE PLACE WA ALF TRS SUB LLC

Practice address

20 SE Larch Ave
College Place, WA 99324-1199

Phone

(949) 270-9200

NPI assigned

Jul 23, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Danny Prosky

Title

President

Phone

(949) 270-9200

Specialties & licenses 2

Addresses

Other names 1

• Eagle Springs Senior Alzheimers Community Doing business as

Locations

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1215765151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18191 VON KARMAN AVE STE 300",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926127106",
            "telephone_number": "949-270-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SE LARCH AVE",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241199",
            "telephone_number": "949-270-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHR COLLEGE PLACE WA ALF TRS SUB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "PROSKY",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-270-9200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Springs Senior Alzheimers Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Anderson Ongers
• Ariel Anderson, RN
• Todd G Anderson, OD
• Shelley Rane Aronson, DDS MS
• Joy Ash, ARNP

• Alzheimer Center (Dementia Center) in College Place, WA
• Providers in College Place, WA by specialty
• Alzheimer Center (Dementia Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.