Cascade Vista Convalescent Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH954 Issued in WA

Legal business name

CASCADE VISTA CONVALESCENT CENTER, INC.

Practice address

7950 Willows Rd NE
Redmond, WA 98052-6813

Phone

(425) 885-4157

Fax

(425) 882-3308

NPI assigned

Jul 13, 2005

Organization subpart

No

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

Authorized official

Name

Terry Caffey

Title

Controller

Phone

(425) 885-4157

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1336147388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 WILLOWS RD NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980526813",
            "telephone_number": "425-885-4157",
            "fax_number": "425-882-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 WILLOWS RD NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980526813",
            "telephone_number": "425-885-4157",
            "fax_number": "425-882-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE VISTA CONVALESCENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "CAFFEY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "425-885-4157"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "NH954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4195400",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy E Carter, MD
• Angela Carter, PMHNP-BC
• John Walter Cartmell, CN
• Cascade Medical Supply Inc
• Cascade Plaza Retirement and Assisted Living Center
• Hilarie M Cash, PHD
• Nancy Lynne Cass, RN,BSN
• Debra Kane Catlin
• Tamara Cave
• Kirby P Cazier

• Skilled Nursing Facility in Redmond, WA
• Providers in Redmond, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.