White River Community Healthcare LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WHITE RIVER COMMUNITY HEALTHCARE LLC

Doing business as

White River Assisted Living

Practice address

2229 Jensen St
Enumclaw, WA 98022-3639

Phone

(360) 825-0280

NPI assigned

May 21, 2024

Last updated

May 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Mitchell

Title

Secretary

Phone

(801) 447-9829

Specialties & licenses 1

Addresses

Other names 1

• White River Assisted Living Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1225877111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 N UNIVERSITY AVE",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2229 JENSEN ST",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223639",
            "telephone_number": "360-825-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE RIVER COMMUNITY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "801-447-9829"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White River Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Elwyn Weide, DDS
• Mary Christina Werner, DPT
• Michelle Marie Werner, RDH
• Allison Carrie Wettstein
• Vicroria Ann Whisler, MA, LMFT
• White River MC Healthcare LLC (White River Memory Care)
• Carol M Wick, PT, OTR/L
• Carla J Wilbur
• Teri Wilcox, L.M.P., L.E.
• Tanya Marie Wilke, MD

• Assisted Living Facility in Enumclaw, WA
• Providers in Enumclaw, 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 May 21, 2024; 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.