Cascade Connections
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Ferndale, WA
NPI 1366050833 · NPPES record last updated Jul 21, 2020
Key facts
- NPI
- 1366050833
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- 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
- Organization subpart
- Yes
- Parent organization (as reported)
- CASCADE CONNECTIONS
Authorized official
- Name
- Mr. George Edward Beanblossom Jr.
- Title
- Executive Director
- Phone
- (360) 714-9355
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Cascade Connections
- Part of
- Cascade Connections
Locations
1354 Pacific Pl
Ste 101
Ferndale, WA 98248
Phone (360) 714-9355
Specialties & licenses
| 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 | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1117241 | Other | WA | PROVIDERONE ID |
Other providers in Ferndale, WA
- Samuel G Browning
- Amelia Rose Brush
- Nichole Lynn Cammack
- Capstone Health Services Inc.
- Cascade Ambulance Service, Inc
- Cascade Prosthetics and Orthotics Inc
- Brianna Case
- Lindsey Castillo
- James Louis Chapman
- Rosemary Chang Chia Chen
All providers in Ferndale, WA · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.