Columbia Cascade Housing Corp.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COLUMBIA CASCADE HOUSING CORP.

Doing business as

Rock Cove

Practice address

986 SW Rock Creek Dr
Stevenson, WA 98648-4410

Phone

(509) 427-7272

NPI assigned

Jun 11, 2020

Last updated

Jun 11, 2020By 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

Peter Verdieck

Title

Evp Finance & Administration

Phone

(503) 255-4647

Specialties & licenses 1

Addresses

Other names 1

• Rock Cove 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": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1255956553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 SE 82ND DR",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159502",
            "telephone_number": "503-255-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 SW ROCK CREEK DR",
            "city": "STEVENSON",
            "state": "WA",
            "postal_code": "986484410",
            "telephone_number": "509-427-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA CASCADE HOUSING CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "VERDIECK",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "EVP FINANCE & ADMINISTRATION",
        "authorized_official_telephone_number": "503-255-4647"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock Cove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bernadette T. Campbell, LMP
• Cascade Acupuncture Center, LLC
• Tamara T Cissell, MSW, CDP
• Connie Ruth Clark, ARNP
• Jack Dieterich Clifton, DDS
• Amber Corey, LMP
• County of Skamania (Skamania County Community Health)
• County of Skamania (Skamania County Community Health)
• Crossroads Behavioral Health
• Lucy Ann Entenman, LICSW

• Assisted Living Facility in Stevenson, WA
• Providers in Stevenson, 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 Jun 11, 2020; 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.