Kadie Glen Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KADIE GLEN ASSISTED LIVING, LLC

Practice address

451 N Baker Ave
East Wenatchee, WA 98802-4857

Phone

(509) 884-9555

NPI assigned

Dec 20, 2017

Organization subpart

No

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

Authorized official

Name

Schneur Schneerson

Title

Manager/Member

Phone

(805) 204-8672

Specialties & licenses 1

Addresses

Other names 1

• Kadie Glen Assisted Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1669988135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 S VIA LOS ALTOS",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913207006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 N BAKER AVE",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988024857",
            "telephone_number": "509-884-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KADIE GLEN ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "SCHNEERSON",
        "authorized_official_first_name": "SCHNEUR",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "805-204-8672"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kadie Glen Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kadie Glen Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Christinia Johnson, R.D.
• Jennifer Jordan, PT, DPT, CCS
• Lisa Jo Juchmes, LMP
• Annie Jung
• Dennis Anthony Jurgens, RPH
• Diann Kale, DC, FICCI
• Mary Megan Kappler, LMHC
• Stephanie Elizabeth Karins, PT, DPT
• Dana W Kay, MSW
• Macey Ann Keller, OTD

• Assisted Living Facility in East Wenatchee, WA
• Providers in East 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 Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.