Colonial Vista Community Healthcare LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COLONIAL VISTA COMMUNITY HEALTHCARE LLC

Practice address

601 Okanogan Ave
Wenatchee, WA 98801-6414

Phone

(509) 436-8919

NPI assigned

May 17, 2024

Organization subpart

No

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

Authorized official

Name

John Mitchell

Title

Secretary

Phone

(801) 447-9829

Specialties & licenses 1

Addresses

Other names 1

• Colonial Vista Senior Living Doing business as

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1508615865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 N UNIVERSITY AVE",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 OKANOGAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016414",
            "telephone_number": "509-436-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL VISTA COMMUNITY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "801-447-9829"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Vista Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerrad Elijah Collins
• Jill M Collins, SUDPT
• Julie Collins, CO60554860
• Patricia Maureen Collins, PT
• Colonial Vista Care Centers, LLC
• Colonial Vista SNF Healthcare LLC
• John F. Colpitts, MD
• Columbia Chiropractic Clinic
• Columbia Counseling
• Columbia Counseling 607, LLC

• Assisted Living Facility in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.