Care Center Clarkston Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CARE CENTER CLARKSTON INC.

Doing business as

Prestige Care & Rehabilitation - Clarkston

Practice address

1242 11TH St
Clarkston, WA 99403-2815

Phone

(509) 758-2523

NPI assigned

Aug 27, 2012

Last updated

Jan 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory J Vislocky

Title

Ex VP of Finance / Partner

Phone

(360) 816-8295

Specialties & licenses 1

Addresses

Other names 1

• Prestige Care & Rehabilitation - Clarkston Doing business as

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1841548757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 NE PARKWAY DR",
            "address_2": "SUITE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626654",
            "telephone_number": "360-735-7155",
            "fax_number": "360-735-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 11TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032815",
            "telephone_number": "509-758-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CENTER CLARKSTON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "VISLOCKY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EX VP OF FINANCE / PARTNER",
        "authorized_official_telephone_number": "360-816-8295"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Care & Rehabilitation - Clarkston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Buckheit
• Danielle Callahan
• Jessica Leigh Campbell, LMP
• Lindsey Cannard
• Ciara Noelle Carbone, DC
• Lisa Carey
• Carpenter Health PLLC
• Todd M Carpenter, NP
• Jared L Cattron, DMD
• Carol Chandler, NP

• Skilled Nursing Facility in Clarkston, WA
• Providers in Clarkston, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.