WHIPPLE CREEK SENIOR ESTATE LLC NPI 1831363043

NPI Information

  • NPI: 1831363043
  • Provider Name: WHIPPLE CREEK SENIOR ESTATE, LLC
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • CLIA Number: 50D2309320
  • Address: 819 NE 155TH CIR
    VANCOUVER, WA
    ZIP 98685
  • Phone: (360) 566-1010

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NPI Details

WHIPPLE CREEK SENIOR ESTATE, LLC is an adult care home custodial care facility in Vancouver, WA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. WHIPPLE CREEK SENIOR ESTATE, LLC NPI is 1831363043. The provider is registered as an organization entity type.

The provider's business location address is:

819 NE 155TH CIR
VANCOUVER, WA
ZIP 98685-709
Phone: (360) 566-1010

The provider's authorized official is Danny Senior .
The authorized official title is Owner and has the following contact phone number (360) 566-1010.

The CLIA number assigned to this NPI record is 50D2309320 - other - afh with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2008 and was last updated on 4/17/2008.

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
1311ZA0620XCustodial Care FacilityAdult Care Home750136WASHINGTONYes

What is NPI?

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This page was last updated on: 3/30/2025

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