Organization Active NPI

Hearthstone Cottages LLC

  • Assisted Living Facility
  • East Wenatchee, WA
National Provider Identifier
1891780953
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
BH 1431 Issued in WA
Legal business name
HEARTHSTONE COTTAGES LLC
Practice address
589 Highline Dr
East Wenatchee, WA 98802-5495
Phone
(509) 662-1636
Fax
(509) 662-8690
NPI assigned
Sep 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Diana V Wiley
Title
Controller
Phone
(509) 662-1636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X BH 1431 WA Primary

Addresses

Primary practice location

589 Highline Dr
East Wenatchee, WA 98802-5495

Mailing address

625 Okanogan Ave
Wenatchee, WA 98801-6409
Phone (509) 662-1636

Other identifiers 1

IdentifierTypeStateIssuer
597475MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Hearthstone Cottages LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891780953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 OKANOGAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016409",
            "telephone_number": "509-662-1636",
            "fax_number": "509-662-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 HIGHLINE DR",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025495",
            "telephone_number": "509-662-1636",
            "fax_number": "509-662-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTHSTONE COTTAGES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "509-662-1636",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "BH 1431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "597475",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.