BLOSSOM VALLEY WENATCHEE NPI 1063556504

NPI Information

  • NPI: 1063556504
  • Provider Name: BLOSSOM VALLEY WENATCHEE
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 50D2160645
  • Address: 1701 ORCHARD AVE
    WENATCHEE, WA
    ZIP 98801
  • Phone: (509) 667-0990

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NPI Details

BLOSSOM VALLEY WENATCHEE is an assisted living facility in Wenatchee, 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. BLOSSOM VALLEY WENATCHEE NPI is 1063556504. The provider is registered as an organization entity type.

The provider's business location address is:

1701 ORCHARD AVE
WENATCHEE, WA
ZIP 98801-702
Phone: (509) 667-0990
Fax: (503) 485-1495

The provider's authorized official is Jon Harder .
The authorized official title is Ceo President and has the following contact phone number (503) 485-4600.

The CLIA number assigned to this NPI record is 50D2160645 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityBH 1783WASHINGTONYes

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: 3/30/2025

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