Buena Vista Alf Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BUENA VISTA ALF OPERATIONS, LLC

Doing business as

Buena Vista Healthcare

Practice address

151 Buena Vista Dr
Colville, WA 99114-8676

Phone

(509) 684-4539

Fax

(509) 685-0582

NPI assigned

Aug 6, 2024

Organization subpart

Yes

Parent organization

PACIFIC NORTHWEST 12 LEASED OPERATIONS HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

Yitzchok Yenowitz

Title

Authorized Official

Phone

(732) 769-8877

Specialties & licenses 5

Addresses

Other names 1

• Buena Vista Healthcare Doing business as

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1215767058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 NE 77TH AVE STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626736",
            "telephone_number": "360-837-0400",
            "fax_number": "360-967-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 BUENA VISTA DR",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991148676",
            "telephone_number": "509-684-4539",
            "fax_number": "509-685-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VISTA ALF OPERATIONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACIFIC NORTHWEST 12 LEASED OPERATIONS HOLDINGS, LLC",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "YENOWITZ",
        "authorized_official_first_name": "YITZCHOK",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "732-769-8877"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buena Vista Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Buena Vista Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher J. S. Brown
• Jerry Lee Brown, DDS
• Holly Buche
• Sharon Ann Buchta
• Thomas Bucklew, P.T.
• Buena Vista Inc
• Buena Vista SNF Operations, LLC
• Dorothy Lorraine Bumatay
• Berneal E. Bundy, RN CRNFA
• Julie A Burkey

• Assisted Living Facility in Colville, WA
• Providers in Colville, 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 Sep 5, 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.