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CHP YAKIMA WA II TENANT CORP. NPI 1801330089


NPI Information

NPI: 1801330089
Provider Name: CHP YAKIMA WA II TENANT CORP.

Doing Business As: FIELDSTONE ORCHARDWEST

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

CLIA Number: 50D2076853

Address:
4130 ENGLEWOOD AVE
YAKIMA, WA
ZIP 98908
Phone: (509) 428-2100
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CHP YAKIMA WA II TENANT CORP. is an assisted living facility in Yakima, 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. CHP YAKIMA WA II TENANT CORP. NPI is 1801330089. The provider is registered as an organization entity type.
The provider Is Doing Business As Fieldstone Orchardwest.

The provider's business location address is:

4130 ENGLEWOOD AVE
YAKIMA, WA
ZIP 98908-799
Phone: (509) 428-2100

The provider's authorized official is Kevin Maddron .
The authorized official title is Svp/treasurer and has the following contact phone number (407) 650-1000.

The CLIA number assigned to this NPI record is 50D2076853 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2016 and was last updated on 12/7/2016.


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 FacilityYes

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: 5/5/2024

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