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DEPOT STREET PROPERTIES INC
NPI 1821817594
Custodial Care Facility - Adult Care Home in Vancouver, WA

Active since October 09, 2024
12217 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683(360) 314-4858(360) 433-9031 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Custodial Care Facility
  • Adult Care Home

About DEPOT STREET PROPERTIES INC

This page provides the complete NPI Profile along with additional information for Depot Street Properties Inc, a provider established in Vancouver, Washington operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1821817594 assigned on October 2024. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Leslie Swindell (Provider/owner)

NPI
1821817594 Verify this NPI
Provider Name
DEPOT STREET PROPERTIES INC
Entity Type
Organization
Location Address
12217 SE MCGILLIVRAY BLVD VANCOUVER, WA 98683
Location Phone
(360) 314-4858
Location Fax
(360) 433-9031
Mailing Address
14 N DEPOT ST RIDGEFIELD, WA 98642
Mailing Phone
(360) 823-3140
Mailing Fax
(360) 433-9031
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-09-2024
Last Update Date
10-09-2024
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LESLIE SWINDELL

Authorized Official Title
PROVIDER/OWNER
Authorized Official Phone
(360) 823-3140

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Frequently Asked Questions

What is DEPOT STREET PROPERTIES INC's NPI number?

The NPI number assigned to this healthcare provider is 1821817594, enumerated as an "organization" on October 09, 2024.

Where is the provider located?

The provider is located at 12217 SE MCGILLIVRAY BLVD VANCOUVER, WA 98683 and the phone number is (360) 314-4858.

What is the provider's specialty?

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.