Organization Active NPI

Van Vista Plaza LLLP

  • Assisted Living Facility
  • Vancouver, WA
National Provider Identifier
1861302879
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VAN VISTA PLAZA LLLP
Practice address
410 W 13TH St
Vancouver, WA 98660-2876
Phone
(360) 750-4665
Fax
(360) 750-6740
NPI assigned
Sep 10, 2026
Last updated
Sep 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Sheena Hope Bah, LPN
Title
Executive Director
Phone
(360) 750-4665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

410 W 13TH St
Vancouver, WA 98660-2876

Mailing address

410 W 13TH St
Vancouver, WA 98660-2876
Phone (360) 750-4665

Other identifiers 1

IdentifierTypeStateIssuer
2529OtherWADSHS

National Provider Directory

National Provider Directory

Locations

410 W 13th St
Vancouver, WA 98660

NPI Registry JSON

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1861302879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W 13TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602876",
            "telephone_number": "360-750-4665",
            "fax_number": "360-750-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W 13TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602876",
            "telephone_number": "360-750-4665",
            "fax_number": "360-750-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN VISTA PLAZA LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "BAH",
        "authorized_official_first_name": "SHEENA",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-750-4665",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "2529",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.