Organization Active NPI

Cascade Connections

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ferndale, WA
National Provider Identifier
1366050833
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 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
Last updated
Jul 21, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CASCADE CONNECTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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)CodeLicenseStatePrimary
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 Connections2 organizations share this tax ID, including this one
Part of
Cascade Connections

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.