Ssa VII, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SSA VII, LLC

Practice address

13400 N Meyer Rd
Rathdrum, ID 83858-7099

Phone

(208) 687-0495

NPI assigned

May 22, 2017

Last updated

Jul 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lee Field

Title

Member

Phone

(253) 474-0425

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500508800000",
    "number": "1700313731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PACIFIC AVE STE 450",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024382",
            "telephone_number": "253-474-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 N MEYER RD",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "838587099",
            "telephone_number": "208-687-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSA VII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2017-07-20",
        "status": "A",
        "authorized_official_last_name": "FIELD",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "253-474-0425",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO DEPARTMENT OF HEALTH AND WELFARE",
            "identifier": "RC-1147",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Violet Rudd, LAMFT
• Lynn Russell, LCSW, ACSW, QP, CS
• Brian Sharp, PTA
• Keagan Scott Shillington, DPT
• Dean Sparks, P.A.-C
• Shauna Rae Stimmel, MASTER DEGREE
• Tamarack Pharmacy
• Tamarack Pharmacy LLC (Tamarack Pharmacy Rathdrum LTC)
• Tamarack Pharmacy LLC (Tamarack Pharmacy Rathdrum)
• The Neutral Agency, LLC

• Assisted Living Facility in Rathdrum, ID
• Providers in Rathdrum, ID by specialty
• Assisted Living Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.