NPIMap

Organization Active NPI

Social Treatment Opportunity Programs II, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Moses Lake, WA
National Provider Identifier
1780069583
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
SOCIAL TREATMENT OPPORTUNITY PROGRAMS II, INC.
Practice address
104 W Broadway Ave
Moses Lake, WA 98837-1902
Phone
(509) 855-9494
Fax
(509) 765-4132
NPI assigned
Jul 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Authorized official

Name
Mr. Andrew Tatum, MBA
Title
Coo/Cfo
Phone
(253) 471-0890

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

104 W Broadway Ave
Moses Lake, WA 98837-1902

Mailing address

PO Box 2147
Moses Lake, WA 98837-0547
Phone (509) 855-9494

Other names 1

  • STOP-Moses Lake Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Social Treatment Opportunity Programs II Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

104 W Broadway Ave
Moses Lake, WA 98837
Phone (509) 855-9494

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1780069583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988370547",
            "telephone_number": "509-855-9494",
            "fax_number": "509-765-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W BROADWAY AVE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371902",
            "telephone_number": "509-855-9494",
            "fax_number": "509-765-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL TREATMENT OPPORTUNITY PROGRAMS II, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "COO/CFO",
        "authorized_official_telephone_number": "253-471-0890",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STOP-Moses Lake",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STOP-Moses Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.