Aaa Crystal Rose Adult Family Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

603295523 Issued in WA

Legal business name

AAA CRYSTAL ROSE ADULT FAMILY HOME

Practice address

4414 S Helena St
Spokane, WA 99223-4313

Phone

(509) 999-7273

NPI assigned

Dec 11, 2013

Last updated

Dec 11, 2013By 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

Mr. Steven C Andrews, R.N.

Title

Owner

Phone

(509) 999-7273

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1306277660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8401",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992030401",
            "telephone_number": "509-999-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 S HELENA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234313",
            "telephone_number": "509-999-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAA CRYSTAL ROSE ADULT FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-999-7273",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "603295523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Place to Start
• A Refuge: Trauma Informed Therapies, a Nonprofit Organization (A Refuge: Trauma Informed Therapies)
• A Renewed Mind Psychiatric Services, LLC
• A Step Above Foot & Ankle Clinics, LLC
• A. Christopher Olson, MD, PLLC
• Aaaa Crystal Rose Comfort Adult Family Home
• Aac Solutions & Rehab Services, LLC
• Isaac Aanenson
• Aark Laboratory
• Aaron and Hur Healthcare, P.C. (Inland Home Healthcare)

• Adult Care Home Facility in Spokane, WA
• Providers in Spokane, 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 Dec 11, 2013; 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.