Manitou Horizons LLC

Primary specialty

ContractorTaxonomy code 171W00000X

License

MA00013615 Issued in WA

Legal business name

MANITOU HORIZONS LLC

Practice address

4412 Pacific Ave SE
Suite # 202
Lacey, WA 98503-1119

Phone

(360) 870-0878

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William Alan Christie, L.M.P.NPI 1275665713

Title

Director

Phone

(360) 870-0878

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• William Alan Christie

  • Contractor
  • Lacey, WA
  • NPI 1275665713
  NPD (past) Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346367950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 COOPER POINT RD SW",
            "address_2": "SUITE 140-341",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021107",
            "telephone_number": "360-870-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4412 PACIFIC AVE SE",
            "address_2": "SUITE # 202",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031119",
            "telephone_number": "360-870-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANITOU HORIZONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTIE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "360-870-0878",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.M.P."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "WA",
            "license": "MA00013615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0162249",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Maldonado
• Patrick William Maley
• Alika Malmstrom, LMP
• Manassehs Adult Family Home LLC
• Antonette Manigsaca
• Myhre Manning-Kniestedt
• Manor Care of Lacey Wa, Association
• Stacy L Manroe, PA-C
• Jessica L Manzanares
• Kate Ida Marcello, LMP

• Contractor in Lacey, WA
• Providers in Lacey, WA by specialty
• Contractor in Washington

• 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.