Organization Active NPI

Chuckanut Ridge Assisted Living LLC

  • Assisted Living Facility
  • Bellingham, WA
National Provider Identifier
1740077544
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CHUCKANUT RIDGE ASSISTED LIVING LLC
Practice address
702 32ND St
Bellingham, WA 98225-6963
Phone
(360) 676-9193
NPI assigned
Apr 23, 2025
Last updated
Apr 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Peter Wolkin
Title
Manager
Phone
(360) 319-6536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

702 32ND St
Bellingham, WA 98225-6963

Mailing address

702 32ND St
Bellingham, WA 98225-6963
Phone (360) 676-9193

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1740077544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 32ND ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256963",
            "telephone_number": "360-676-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 32ND ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256963",
            "telephone_number": "360-676-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUCKANUT RIDGE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "WOLKIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-319-6536"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.