Wenatchee Senior Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

BH 1790 Issued in WA

Legal business name

WENATCHEE SENIOR CARE LLC

Doing business as

Blossom Creek Specialty Care

Practice address

1740 Madison St
Wenatchee, WA 98801-4700

Phone

(509) 662-3500

NPI assigned

Mar 20, 2007

Last updated

Jun 20, 2008By 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

Jon M Harder

Title

Manager

Phone

(503) 375-9016

Specialties & licenses 2

Addresses

Other names 1

• Blossom Creek Specialty Care Doing business as

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1760507594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3006",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973020006",
            "telephone_number": "503-375-9016",
            "fax_number": "503-485-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 MADISON ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988014700",
            "telephone_number": "509-662-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENATCHEE SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-375-9016"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "BH 1790",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossom Creek Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wenatchee Midwife Service
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• Wenatchee Relief, Inc.
• Wenatchee School District
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• Wenatchee Valley Hospital
• Wenatchee Valley Hospital
• Wenatchee Valley Hospital (Wenatchee Valley Hospital Regional Eye Center)
• Wenatchee Valley Hospital (Confluence Health Wenatchee Valley Hospital)

• Assisted Living Facility in Wenatchee, WA
• Providers in 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 Jun 20, 2008; 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.