Empres at Colville, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EMPRES AT COLVILLE, LLC

Doing business as

Buena Vista Healthcare

Practice address

151 Buena Vista Dr
Colville, WA 99114-8676

Phone

(509) 684-4539

Fax

(509) 685-0582

NPI assigned

Nov 26, 2014

Last updated

Jan 30, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

EMPRES WASHINGTON HEALTHCARE, LLCAs reported in NPPES

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

Authorized official

Name

Brent Weil

Title

Ceo and Manager

Phone

(360) 892-6628

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Buena Vista Healthcare 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": "1485734400000",
    "number": "1477950954",
    "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": "986626736",
            "telephone_number": "360-892-6628",
            "fax_number": "360-816-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 BUENA VISTA DR",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991148676",
            "telephone_number": "509-684-4539",
            "fax_number": "509-685-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPRES AT COLVILLE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPRES WASHINGTON HEALTHCARE, LLC",
        "enumeration_date": "2014-11-26",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "WEIL",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "CEO AND MANAGER",
        "authorized_official_telephone_number": "360-892-6628"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buena Vista Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John D Ehlers
• Mary Kay Eller, RC
• Kaylee E Ellerbeck
• Jannett A Elliott, LMP
• Crystal L Ellsworth, SUDP-T
• Christy Lee Endicott, MSW
• Patricia Ann Erdman, LICSW
• April Erickson
• Erin Miller, DNP PLLC
• Katie C Esvelt

• Skilled Nursing Facility in Colville, WA
• Providers in Colville, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.