NPIMap

Organization Active NPI

Care Center Ellensburg Inc

Doing business as Prestige Post-Acute and Rehabilitation Center - Kittitas Valley

  • Skilled Nursing Facility
  • Ellensburg, WA
National Provider Identifier
1881006633
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CARE CENTER ELLENSBURG INC
Doing business as
Prestige Post-Acute and Rehabilitation Center - Kittitas Valley
Practice address
1050 E Mountain View Ave
Ellensburg, WA 98926-3930
Phone
(360) 735-7155
NPI assigned
May 28, 2014
Organization subpart
Yes
Parent organization
PRESTIGE CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Authorized official

Name
Mr. Gregory J Vislocky
Title
Exec V.P. of Finance / Partner
Phone
(360) 735-7155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1050 E Mountain View Ave
Ellensburg, WA 98926-3930

Mailing address

7700 NE Parkway Dr
Suite 300
Vancouver, WA 98662-6648
Phone (360) 735-7155

Other names 1

  • Prestige Post-Acute and Rehabilitation Center - Kittitas Valley Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1881006633",
    "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": "986626648",
            "telephone_number": "360-735-7155",
            "fax_number": "360-816-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E MOUNTAIN VIEW AVE",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263930",
            "telephone_number": "360-735-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CENTER ELLENSBURG INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESTIGE CARE INC",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "VISLOCKY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXEC V.P. OF FINANCE / PARTNER",
        "authorized_official_telephone_number": "360-735-7155",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Post-Acute and Rehabilitation Center - Kittitas Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 28, 2014; 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.