Active NPI
CRH Chandler House LLC
Doing business as Chandler House
- Alzheimer Center (Dementia Center)
- Yakima, WA
National Provider Identifier
1497294383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Alzheimer Center (Dementia Center)
- License
- 2156
- Legal business name
- CRH CHANDLER HOUSE LLC
- Doing business as
- Chandler House
- Practice address
- 701 N 39TH Ave
Yakima, WA 98902-6343 - Phone
- (509) 248-1007
- NPI assigned
- Feb 13, 2017
- Organization subpart
- Yes
- Parent organization
- CRH NORTHWEST
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Austin Evans
- Title
- Managing Member
- Phone
- (541) 317-9188
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Alzheimer Center (Dementia Center) | 311500000X | 2156 | WA | Primary |
| Alzheimer Center (Dementia Center) | 311500000X | 2157 | WA | |
| Alzheimer Center (Dementia Center) | 311500000X | 2158 | WA | |
| Alzheimer Center (Dementia Center) | 311500000X | 2159 | WA |
Addresses
Primary practice location
701 N 39TH Ave
Yakima, WA 98902-6343
Mailing address
PO Box 1410
Bend, OR 97709-1410
Phone (541) 317-9188
Other names 1
- Chandler House
National Provider Directory
National Provider DirectoryLocations
701 N 39th Ave
Yakima, WA 98902
Phone (509) 248-1007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633564800000",
"number": "1497294383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1410",
"city": "BEND",
"state": "OR",
"postal_code": "977091410",
"telephone_number": "541-317-9188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N 39TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989026343",
"telephone_number": "509-248-1007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRH CHANDLER HOUSE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CRH NORTHWEST",
"enumeration_date": "2017-02-13",
"last_updated": "2021-10-07",
"certification_date": "2021-10-07",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "AUSTIN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "541-317-9188"
},
"taxonomies": [
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": "WA",
"license": "2156",
"primary": true
},
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": "WA",
"license": "2157",
"primary": false
},
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": "WA",
"license": "2158",
"primary": false
},
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": "WA",
"license": "2159",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Chandler House",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.