Vancouver Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

BH 1847 Issued in WA

Legal business name

VANCOUVER SENIOR LIVING, LLC

Practice address

17171 SE 22ND Dr
Vancouver, WA 98683-3309

Phone

(360) 885-1400

NPI assigned

Mar 31, 2007

Organization subpart

No

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

Authorized official

Name

Jon Harder

Title

Manager

Phone

(503) 485-4600

Specialties & licenses 1

Addresses

Other names 1

• Fisher's Landing Assisted Living Community Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992825921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3723 FAIRVIEW INDUSTRIAL DR SE STE 270",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024975",
            "telephone_number": "503-485-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17171 SE 22ND DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986833309",
            "telephone_number": "360-885-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCOUVER SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-485-4600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "BH 1847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fisher's Landing Assisted Living Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vancouver Psychological and Counseling Services, PLLC
• Vancouver Radiologists a Professional Corp
• Vancouver Rehabilitation & Therapy Clinic PS
• Vancouver School District
• Vancouver Senior Care
• Vancouver Sleep Center, LLC
• Vancouver Spinal Care
• Vancouver Spine & Orthopedic Rehabilition Center, PLLC
• Vancouver Vein & Surgical Center
• Vancouver Voice Works PLLC

• Assisted Living Facility in Vancouver, WA
• Providers in Vancouver, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.