NPIMap

Organization Active NPI

Weeping Ridge Lake Spokane

  • Adult Care Home Facility
  • Nine Mile Falls, WA
National Provider Identifier
1770974248
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
WEEPING RIDGE LAKE SPOKANE
Practice address
12402 Osprey Rd
Nine Mile Falls, WA 99026-5000
Phone
(509) 989-1843
NPI assigned
Feb 5, 2015
Last updated
Feb 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Israel Rodriguez Jr.NPI 1982068144
Title
Administrator
Phone
(509) 989-1843

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

12402 Osprey Rd
Nine Mile Falls, WA 99026-5000

Mailing address

12402 Osprey Rd
Nine Mile Falls, WA 99026-5000
Phone (509) 989-1843

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1770974248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12402 OSPREY RD",
            "city": "NINE MILE FALLS",
            "state": "WA",
            "postal_code": "990265000",
            "telephone_number": "509-989-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12402 OSPREY RD",
            "city": "NINE MILE FALLS",
            "state": "WA",
            "postal_code": "990265000",
            "telephone_number": "509-989-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEEPING RIDGE LAKE SPOKANE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-989-1843",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nine Mile Falls, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.