Ambitions Community Support Services of Wa, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

AMBITIONS COMMUNITY SUPPORT SERVICES OF WA, LLC

Practice address

230 Grant Rd Ste CB1
East Wenatchee, WA 98802-7724

Phone

(509) 667-2242

NPI assigned

Oct 10, 2019

Organization subpart

No

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

Authorized official

Name

Brooke Walters

Title

Controller

Phone

(509) 921-0585

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1952943052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N ARGONNE RD STE 100",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 GRANT RD STE CB1",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988027724",
            "telephone_number": "509-667-2242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Omak Avenue",
            "address_purpose": "LOCATION",
            "city": "Omak",
            "state": "WA",
            "postal_code": "98841",
            "country_code": "US",
            "telephone_number": "509-826-5286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 N Neel St",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993362865",
            "country_code": "US",
            "telephone_number": "509-735-1964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMBITIONS COMMUNITY SUPPORT SERVICES OF WA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "509-921-0585"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mark Robert Anderton, DMD
• Sarah Arnold, LMP

• Developmentally Disabled Services Day Training Agency in East Wenatchee, WA
• Providers in East Wenatchee, WA by specialty
• Developmentally Disabled Services Day Training Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.