Organization Active NPI

Apple Springs Assisted Living

  • Assisted Living Facility
  • Omak, WA
National Provider Identifier
1306062518
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
BH1277 Issued in WA
Legal business name
APPLE SPRINGS ASSISTED LIVING
Practice address
1001 Senna St
Omak, WA 98841-9210
Phone
(509) 826-3590
Fax
(509) 826-5595
NPI assigned
Apr 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kay Harris
Title
Executive Director
Phone
(509) 826-3590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X BH1277 WA Primary

Addresses

Primary practice location

1001 Senna St
Omak, WA 98841-9210

Mailing address

4610 NE 77TH Ave
Suite #132
Vancouver, WA 98662-6789
Phone (360) 449-4524

Other identifiers 1

IdentifierTypeStateIssuer
911587MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306062518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 NE 77TH AVE",
            "address_2": "SUITE #132",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626789",
            "telephone_number": "360-449-4524",
            "fax_number": "360-449-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SENNA ST",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419210",
            "telephone_number": "509-826-3590",
            "fax_number": "509-826-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE SPRINGS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "509-826-3590",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "BH1277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "911587",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omak, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.