Lewiston Royal Plaza Care, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LEWISTON ROYAL PLAZA CARE, LLC

Doing business as

Royal Plaza Health and Rehabilitation

Practice address

2870 Juniper Dr
Lewiston, ID 83501-4720

Phone

(208) 746-2800

Fax

(208) 746-4994

NPI assigned

Jul 16, 2014

Organization subpart

Yes

Parent organization

EMPRES IDAHO HEALTHCARE, LLCAs reported in NPPES

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

Authorized official

Name

Brent Weil

Title

Ceo and Manager

Phone

(360) 892-6628

Specialties & licenses 1

Addresses

Other names 1

• Royal Plaza Health and Rehabilitation Doing business as

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1982011474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 NE 77TH AVE",
            "address_2": "SUITE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626729",
            "telephone_number": "360-892-6628",
            "fax_number": "360-882-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 JUNIPER DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014720",
            "telephone_number": "208-746-2800",
            "fax_number": "208-746-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISTON ROYAL PLAZA CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPRES IDAHO HEALTHCARE, LLC",
        "enumeration_date": "2014-07-16",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "WEIL",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "CEO AND MANAGER",
        "authorized_official_telephone_number": "360-892-6628"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Plaza Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.