Depot Street Properties Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

DEPOT STREET PROPERTIES INC

Practice address

12217 SE McGillivray Blvd
Vancouver, WA 98683-6343

Phone

(360) 314-4858

Fax

(360) 433-9031

NPI assigned

Oct 9, 2024

Organization subpart

No

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

Authorized official

Name

Leslie Swindell

Title

Provider/Owner

Phone

(360) 823-3140

Specialties & licenses 1

Addresses

Other names 1

• Hope Ridge Adult Family Home Doing business as

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1821817594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N DEPOT ST",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986429325",
            "telephone_number": "360-823-3140",
            "fax_number": "360-433-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12217 SE MCGILLIVRAY BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986836343",
            "telephone_number": "360-314-4858",
            "fax_number": "360-433-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPOT STREET PROPERTIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "SWINDELL",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "360-823-3140"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Ridge Adult Family Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Denton, NP
• Tomorrow Lynn Denton, PA-C
• Lenard Gobin Deochand
• Savannah Deochand
• Rebecca Depalma
• Aidan H Derenne, MD
• Munib Y. Derhalli, D.M.D.
• Tania B. Derington, CRNA
• Dermatology Associates
• Dermatology Associates of Southwest Washington, PLLC

• Adult Care Home Facility in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.