Lewiston Royal Plaza Retirement, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

RC-1083 Issued in ID

Legal business name

LEWISTON ROYAL PLAZA RETIREMENT, LLC

Practice address

2870 Juniper Dr
Lewiston, ID 83501-4720

Phone

(208) 746-2800

Fax

(208) 746-0164

NPI assigned

Nov 26, 2014

Organization subpart

Yes

Parent organization

EMPRES IDAHO HEALTHCARE LLCAs reported in NPPES

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

Authorized official

Name

Dale L. Patterson

Title

Ceo and Manager

Phone

(360) 892-6628

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Royal Plaza Retirement Center Doing business as

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1376940809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 NE 77TH AVE",
            "address_2": "SUITE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626729",
            "telephone_number": "360-892-6628",
            "fax_number": "360-882-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 JUNIPER DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014720",
            "telephone_number": "208-746-2800",
            "fax_number": "208-746-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISTON ROYAL PLAZA RETIREMENT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPRES IDAHO HEALTHCARE LLC",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO AND MANAGER",
        "authorized_official_telephone_number": "360-892-6628"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ID",
            "license": "RC-1083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Plaza Retirement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Assisted Living Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.