Active NPI
Cascade Connections
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Ferndale, WA
National Provider Identifier
1366050833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- CASCADE CONNECTIONS
- Practice address
- 1354 Pacific Place
Suite 101
Ferndale, WA 98248 - Phone
- (360) 714-9355
- Fax
- (360) 312-0332
- NPI assigned
- Jul 21, 2020
- Last updated
- Jul 21, 2020
- Organization subpart
- Yes
- Parent organization
- CASCADE CONNECTIONS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. George Edward Beanblossom Jr.
- Title
- Executive Director
- Phone
- (360) 714-9355
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
1354 Pacific Place
Suite 101
Ferndale, WA 98248
Mailing address
P.O. Box 3174
Ferndale, WA 98248-3174
Phone (360) 714-9355
National Provider Directory
National Provider Directory- Tax ID family
- Cascade Connections
- Part of
- Cascade Connections
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Cascade Vocational Services
- Public Health or Welfare Agency
- Bellingham, WA
- NPI 1962918656
Locations
1354 Pacific Pl
Ste 101
Ferndale, WA 98248
Phone (360) 714-9355
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Cascade Vocational Services
- Public Health or Welfare Agency
- Bellingham, WA
- NPI 1962918656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595289600000",
"number": "1366050833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 3174",
"city": "FERNDALE",
"state": "WA",
"postal_code": "982483174",
"telephone_number": "360-714-9355",
"fax_number": "360-312-0332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1354 PACIFIC PLACE",
"address_2": "SUITE 101",
"city": "FERNDALE",
"state": "WA",
"postal_code": "98248",
"telephone_number": "360-714-9355",
"fax_number": "360-312-0332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASCADE CONNECTIONS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CASCADE CONNECTIONS",
"enumeration_date": "2020-07-21",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A",
"authorized_official_last_name": "BEANBLOSSOM",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "360-714-9355",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ferndale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.