Cascade Park Specialty Care Home LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

CASCADE PARK SPECIALTY CARE HOME LLC

Practice address

2308 SE 146TH Ave
Vancouver, WA 98683-8444

Phone

(360) 558-7244

NPI assigned

Feb 12, 2024

Organization subpart

No

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

Authorized official

Name

Alin BobNPI 1023878352

Title

President

Phone

(503) 913-8129

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alin Bob, RN

  • Registered Nurse
  • Vancouver, WA
  • NPI 1023878352
  NPD Authorized official

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1497519151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 SE 146TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838444",
            "telephone_number": "360-558-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 SE 146TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838444",
            "telephone_number": "360-558-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE PARK SPECIALTY CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "BOB",
        "authorized_official_first_name": "ALIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-913-8129"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cascade Medical Investors Limited Partnership
• Cascade Medical Supply, Inc.
• Cascade Park Care Center/Life Care Centers of America
• Cascade Park Chiropractic Clinic PLLC
• Cascade Park Pharmacy Inc
• Cascade Park Sports Medicine & Rehab Clinic PLLC
• Cascade Pathology Services, Corp
• Cascade Physical Therapy LLC
• Cascade Surgical Physician Assistants, PLLC
• Cascadia Cruise Co.

• Registered Nurse in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.