Whipple Creek Senior Estate, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

750136 Issued in WA

Legal business name

WHIPPLE CREEK SENIOR ESTATE, LLC

Practice address

819 NE 155TH Cir
Vancouver, WA 98685-1709

Phone

(360) 566-1010

NPI assigned

Apr 17, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Danny Senior

Title

Owner

Phone

(360) 566-1010

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1831363043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 NE 155TH CIR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986851709",
            "telephone_number": "360-566-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 NE 155TH CIR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986851709",
            "telephone_number": "360-566-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHIPPLE CREEK SENIOR ESTATE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "SENIOR",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-566-1010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "750136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kejona Wheeler, LMT
• Robert Vern Wheeler, CDP. NCACII, SAP
• Vania Dorneles Wheeler, CNA
• When the Shoe Fits, LLC
• When the Shoe Fits, LLC
• Whipple Creek Wellness Incorporated
• Gordon David Whisner
• Steve Whitaker, DPT
• Stephanie Lynn Whitchurch, L.AC.,M.AC.O.M.
• White Oak Village, LLC

• 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 Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.