Clearwater Springs Assisted Living Community

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CLEARWATER SPRINGS ASSISTED LIVING COMMUNITY

Practice address

201 NW 78TH St
Vancouver, WA 98665-7904

Phone

(360) 546-3344

NPI assigned

Sep 21, 2011

Organization subpart

No

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

Authorized official

Name

Annette Hunt

Title

Executive Director

Phone

(360) 546-3344

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1477836997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NW 78TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986657904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NW 78TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986657904",
            "telephone_number": "360-546-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER SPRINGS ASSISTED LIVING COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-546-3344"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.