Organization Active NPI

Unified Residential Care, Inc

  • Assisted Living Facility (Behavioral Disturbances)
  • Spokane Valley, WA
National Provider Identifier
1659180842
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
UNIFIED RESIDENTIAL CARE, INC
Practice address
12019 E Main Ave
Spokane Valley, WA 99206-5114
Phone
(509) 998-3330
Fax
(509) 413-0444
NPI assigned
Jan 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Jacqueline Kinley
Title
Administrator
Phone
(509) 998-3330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary

Addresses

Primary practice location

12019 E Main Ave
Spokane Valley, WA 99206-5114

Mailing address

12019 E Main Ave
Spokane Valley, WA 99206-5114

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1659180842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12019 E MAIN AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065114",
            "fax_number": "509-413-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12019 E MAIN AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065114",
            "telephone_number": "509-998-3330",
            "fax_number": "509-413-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIFIED RESIDENTIAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "KINLEY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-998-3330"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.