Weeping Ridge West, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

751171 Issued in WA

Legal business name

WEEPING RIDGE WEST, INC.

Practice address

2455 West Bench Rd
Othello, WA 99344

Phone

(509) 989-1843

Fax

(509) 465-1813

NPI assigned

Nov 3, 2014

Organization subpart

No

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

Authorized official

Name

Israel Rodriguez

Title

Administrator

Phone

(509) 989-1843

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Garcia

  • General Practice Registered Nurse
  • Nine Mile Falls, WA
  • NPI 1689223885
  NPD (past)
• Penny Rodriguez, RN

  • Registered Nurse
  • Othello, WA
  • NPI 1346686623
  NPD (past)

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1275938243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12402 OSPREY RD",
            "city": "NINE MILE FALLS",
            "state": "WA",
            "postal_code": "99026",
            "telephone_number": "509-989-1843",
            "fax_number": "509-465-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 WEST BENCH RD",
            "city": "OTHELLO",
            "state": "WA",
            "postal_code": "99344",
            "telephone_number": "509-989-1843",
            "fax_number": "509-465-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEEPING RIDGE WEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-989-1843"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "751171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT FAMILY HOME",
            "identifier": "273641",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew M Walker, PAC
• Jamie J Walles, ARNP
• Walmart Inc.
• Crystal Diane Watson, MSW, SWAICL
• Weeping Ridge Estate Adult Family Home Inc
• Cari Whitney
• Patricia Ann Williamson, N.P.-C.
• Darrell Wilson, PHARMD
• Xuezeng Xiong, MSW

• Adult Care Home Facility in Othello, WA
• Providers in Othello, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.