Cascade Valley Alf Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CASCADE VALLEY ALF OPERATIONS, LLC

Doing business as

Cascade Valley Assisted Living

Practice address

1010 NE 3Rd Ave
Milton Freewater, OR 97862-9414

Phone

(541) 938-5693

Fax

(541) 938-3227

NPI assigned

Aug 6, 2024

Organization subpart

Yes

Parent organization

PACIFIC NORTHWEST 12 LEASED OPERATIONS HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

Yitzchok Yenowitz

Title

Authorized Official

Phone

(732) 769-8877

Specialties & licenses 5

Addresses

Other names 1

• Cascade Valley Assisted Living Doing business as

Practitioners 1

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

• Divine Mansiba Maganto

  • Nurse's Aide
  • Milton Freewater, OR
  • NPI 1548890916
  NPD

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1639909476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 NE 77TH AVE STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626736",
            "telephone_number": "360-837-0400",
            "fax_number": "360-967-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 NE 3RD AVE",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978629414",
            "telephone_number": "541-938-5693",
            "fax_number": "541-938-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE VALLEY ALF OPERATIONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACIFIC NORTHWEST 12 LEASED OPERATIONS HOLDINGS, LLC",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "YENOWITZ",
        "authorized_official_first_name": "YITZCHOK",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "732-769-8877"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Valley Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cascade Valley Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Milton Freewater, OR
• Providers in Milton Freewater, OR by specialty
• Assisted Living Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.