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ASSISTED LIVING CONCEPTS INC NPI 1619093150


NPI Information

NPI: 1619093150
Provider Name: ASSISTED LIVING CONCEPTS INC

Doing Business As: WINDRIVER HOUSE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 50D2053907

Address:
7310 N PINE ROCK STREET
SPOKANE, WA
ZIP 99208
Phone: (509) 325-1242
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ASSISTED LIVING CONCEPTS INC is an assisted living facility in Spokane, WA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ASSISTED LIVING CONCEPTS INC NPI is 1619093150. The provider is registered as an organization entity type.
The provider Is Doing Business As Windriver House.

The provider's business location address is:

7310 N PINE ROCK STREET
SPOKANE, WA
ZIP 99208
Phone: (509) 325-1242
Fax: (509) 325-3483

The provider's authorized official is Walter A Levonowich .
The authorized official title is Vice President And Controller and has the following contact phone number (414) 908-8800.

The CLIA number assigned to this NPI record is 50D2053907 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityBH1778WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1189443MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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