SULLIVAN PARK CARE CENTER
NPI 1487640678
Skilled Nursing Facility in Spokane Valley, WA

Active since September 22, 2005CLIA 50D0882342 · Waiver
3/5
Overall Rating
14820 E 4TH AVE, SPOKANE VALLEY, WA 99216(509) 922-1644(509) 922-8817 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sullivan Park Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SULLIVAN PARK CARE CENTER (NPI 1487640678) is a healthcare organization registered as a skilled nursing facility in Spokane Valley, Washington and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Gregory J Vislocky, Assistant To President/ceo, as its authorized official.

NPPES Registry Identity

NPI1487640678
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCARE CENTER (SULLIVAN PARK) INC
Location Address14820 E 4TH AVESpokane Valley, WA 99216-2165
Mailing Address7700 Ne Parkway Dr, Suite 300Vancouver, WA 98662-6648 · (360) 735-7155 · Fax (360) 735-9416
Fax(509) 922-8817
Organization SubpartNo
Authorized OfficialGregory J VislockyAssistant To President/ceo · (360) 735-7155
Enumeration DateSeptember 22, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1487640678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in WA · 1345
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
14820 E 4TH AVE, Spokane Valley, WA 99216

Other Names 1

Doing Business AsSullivan Park Care Center

Other Identifiers 1

Medicaid4110698WA

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D0882342

Sullivan Park Care Center · Spokane, WA
Active · expires Apr 4, 2028
CLIA Number50D0882342
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateFebruary 1, 1994
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJulie Moran
Laboratory Phone(509) 922-1644
Laboratory LocationSullivan Park Care Center14820 E 4th Ave, Spokane, WA 99216
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Sullivan Park Care Center (CMS certification number 505383), from CMS Care Compare.

Sullivan Park Care Center

Nursing home · Spokane, WA
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number505383
Certified Beds125 beds106 residents per day on average
Medicare & Medicaid Participant SinceJune 12, 1991
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
116
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.51 · LPN 0.98 · RN 0.69
4.17 hrs per resident per day
Weekend Nurse Staffing
3.48 hrs per resident per day
Physical Therapist Staffing
0.04 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
59.7%
Registered Nurse Turnover
55%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
7
Substantiated Complaints
8
Infection-Control Citations
1
Fines
2 totaling $40,086.70
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
14820 E 4TH AVE
SPOKANE VALLEY, WA 99216
Occupational Therapy Assistant
14820 E 4TH AVE
SPOKANE VALLEY, WA 99216
Skilled Nursing Facility
14820 E 4TH AVE
SPOKANE VALLEY, WA 99216
Dietitian, Registered
14820 E 4TH AVE
SPOKANE VALLEY, WA 99216
Skilled Nursing Facility
14820 E 4TH AVE
SPOKANE VALLEY, WA 99216
Physical Therapist
14820 E 4TH AVE
SPOKANE VALLEY, WA 99216
Speech-Language Pathologist
14820 E 4TH AVE
SPOKANE VALLEY, WA 99216
Physical Therapist
14820 E 4TH AVE
SPOKANE VALLEY, WA 99216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Care Center (sullivan Park) Inc's NPI number?

The NPI number for Care Center (sullivan Park) Inc is 1487640678. It was assigned to this organization in the NPPES registry on September 22, 2005. The provider is doing business as Sullivan Park Care Center.

Where is Care Center (sullivan Park) Inc located?

Care Center (sullivan Park) Inc is located at 14820 E 4th Ave, Spokane Valley, WA 99216. The listed phone number is (509) 922-1644.

What is Care Center (sullivan Park) Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Care Center (sullivan Park) Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0882342) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Care Center (sullivan Park) Inc a Medicare-certified nursing home?

Yes. Sullivan Park Care Center is a Medicare-certified nursing home with 125 certified beds.

What quality rating does Care Center (sullivan Park) Inc have?

CMS rates Sullivan Park Care Center 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Care Center (sullivan Park) Inc accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Care Center (sullivan Park) Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Care Center (sullivan Park) Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.