Pine Ridge Management Wa LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PINE RIDGE MANAGEMENT WA LLC

Doing business as

Pine Ridge Alzheimers Special Care Center

Practice address

5615 West Umatilla
Spokane, WA 99206

Phone

(509) 924-4388

NPI assigned

Mar 13, 2017

Organization subpart

No

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

Authorized official

Name

Trent Johnson

Title

Manager

Phone

(469) 804-3716

Specialties & licenses 1

Addresses

Other names 1

• Pine Ridge Alzheimers Special Care Center Doing business as

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1588105308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CRESCENT CT STE 440",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752016964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 WEST UMATILLA",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99206",
            "telephone_number": "509-924-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE RIDGE MANAGEMENT WA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TRENT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-804-3716"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Ridge Alzheimers Special Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenny Kay Pilon, LICSW
• Jane T Pimentel, CCC-SLP
• Jessica Pina, SUDPT, CAAR
• April Dalenea Pinckney, BA, CDP
• Lindsey Pinckney, PHARM.D.
• Pinebrook Afh LLC
• Miriam Guadalupe Pineda, B.S.
• Pinewood Therapy PLLC
• Mindy Pinkerman
• Rachel Marie Pinkerton, RBT

• Assisted Living Facility in Spokane, WA
• Providers in Spokane, 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 Mar 13, 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.