Harbor Crest Tenant, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HARBOR CREST TENANT, LLC

Practice address

3117 E Chaser LN
Spokane, WA 99223-7271

Phone

(509) 443-8500

NPI assigned

Dec 27, 2013

Organization subpart

No

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

Authorized official

Name

Mark Ohlendorf

Title

Co-President

Phone

(414) 918-5000

Specialties & licenses 1

Addresses

Other names 1

• Brookdale Place at Harbor Crest Doing business as

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388102400000",
    "number": "1730500356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737 W WASHINGTON ST",
            "address_2": "SUITE 2300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532145647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 E CHASER LN",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237271",
            "telephone_number": "509-443-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR CREST TENANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-27",
        "last_updated": "2013-12-27",
        "status": "A",
        "authorized_official_last_name": "OHLENDORF",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "414-918-5000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Place at Harbor Crest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy Alan Hanson, MSW-LICSW-A
• Christine J Hapa, RN
• Kim Happ, BLS, CDP
• Tyler Harano
• Emily Catherine Harbine
• Stacey Marion Harbottle, PSYD
• Chad Marc Harbour, M.D.
• Grant Wesley Hardan, O.D
• Louise Ann Harder, MD
• Nanette Van Trieste Harder

• 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 Dec 27, 2013; 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.