SULLIVAN PARK ASSISTED LIVING COMMUNITY
NPI 1942337068
Assisted Living Facility in Spokane Valley, WA
- Organization
- Assisted Living Facility
About SULLIVAN PARK ASSISTED LIVING COMMUNITY
This page provides the complete NPI Profile along with additional information for Sullivan Park Assisted Living Community, a provider established in Spokane Valley, Washington operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1942337068 assigned on February 2007. The practitioner's primary taxonomy code is 310400000X with license number 1612 (WA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Sullivan Park Assisted Living Community. The authorized official of this NPI record is Gregory J Vislocky (Managing Member)
- NPI
- 1942337068 Verify this NPI
- Provider Legal Name
- SULLIVAN VENTURES LLC
- Other Organization Name
- SULLIVAN PARK ASSISTED LIVING COMMUNITY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 421 S ADAMS RD SPOKANE VALLEY, WA 99216
- Location Phone
- (509) 924-5555
- Location Fax
- (509) 924-8890
- Mailing Address
- 7700 NE PARKWAY DR SUITE 300 VANCOUVER, WA 98662
- Mailing Phone
- (360) 735-7155
- Mailing Fax
- (360) 735-9416
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-27-2007
- Last Update Date
- 08-22-2020
- Code Navigator
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
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 1612
- License State
- WA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 966047 | MEDICAID (05) | WA |
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
SPOKANE VALLEY, WA 99216
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942337068, enumerated as an "organization" on February 27, 2007.
The provider is located at 421 S ADAMS RD SPOKANE VALLEY, WA 99216 and the phone number is (509) 924-5555.
Assisted Living Facility with taxonomy code 310400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
