Royal Park Retirement Alf Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ROYAL PARK RETIREMENT ALF OPERATIONS, LLC

Practice address

302 E Wedgewood Ave
Spokane, WA 99208-5393

Phone

(509) 483-7136

Fax

(509) 483-5161

NPI assigned

Aug 6, 2024

Organization subpart

Yes

Parent organization

PACIFIC NORTHWEST 12 LEASED OPERATIONS HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

Yitzchok Yenowitz

Title

Authorized Official

Phone

(732) 769-8877

Specialties & licenses 5

Addresses

Other names 1

• Royal Park Retirement Center Doing business as

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1992535744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 NE 77TH AVE STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626736",
            "telephone_number": "360-837-0400",
            "fax_number": "360-967-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E WEDGEWOOD AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992085393",
            "telephone_number": "509-483-7136",
            "fax_number": "509-483-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL PARK RETIREMENT ALF OPERATIONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACIFIC NORTHWEST 12 LEASED OPERATIONS HOLDINGS, LLC",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "YENOWITZ",
        "authorized_official_first_name": "YITZCHOK",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "732-769-8877"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Park Retirement Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Royal Park Retirement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Roy
• Labre Roy, LPC-A
• Nicholas Will Roy, CFO
• Royal Life Centers, LLC
• Royal Park Health SNF Operations, LLC
• Royal Wa Spokane LLC
• Roybal Chiropractic PS
• Mario D. Roybal, D.C.
• Royter Anesthesia Inc.
• Royter Physical Therapy Inc

• Assisted Living Facility in Spokane, WA
• Providers in Spokane, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.