Active NPI
Ellensburg Ventures, L.L.C.
- Assisted Living Facility
- Ellensburg, WA
National Provider Identifier
1801413711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- ELLENSBURG VENTURES, L.L.C.
- Practice address
- 802 E Mountain View Ave
Ellensburg, WA 98926-3874 - Phone
- (509) 925-3099
- NPI assigned
- Jun 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory Vislocky
- Title
- Managing Member
- Phone
- (360) 735-7155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
802 E Mountain View Ave
Ellensburg, WA 98926-3874
Mailing address
7700 NE Parkway Dr Ste 300
Vancouver, WA 98662-6654
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593129600000",
"number": "1801413711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 NE PARKWAY DR STE 300",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 E MOUNTAIN VIEW AVE",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989263874",
"telephone_number": "509-925-3099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELLENSBURG VENTURES, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-26",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A",
"authorized_official_last_name": "VISLOCKY",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "360-735-7155"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellensburg, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.