Phoebe L Salau

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

755071 Issued in WA

Practice address

12307 E 19TH Ave
Spokane Valley, WA 99216-0387

Phone

(509) 230-3869

Fax

(509) 779-6069

NPI assigned

Nov 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638576000000",
    "number": "1992463665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12307 E 19TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160387",
            "telephone_number": "509-230-3869",
            "fax_number": "509-779-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12307 E 19TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160387",
            "telephone_number": "509-230-3869",
            "fax_number": "509-779-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAU",
        "first_name": "PHOEBE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-12-04",
        "certification_date": "2021-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "755071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safeway Inc
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• Jacquelyn Marie Sajovic, MS, LMHC
• Brandi Lynn Sala, LMP
• Celeste Salerno, L.AC
• Angelita Salinas
• David Angelo Salinas, PTA
• Luke Salladay
• Meri Elen Salsbery

• Adult Care Home Facility in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2021; 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.