SULLIVAN PARK ASSISTED LIVING COMMUNITY
NPI 1942337068
Assisted Living Facility in Spokane Valley, WA

Active since February 27, 2007
421 S ADAMS RD, SPOKANE VALLEY, WA 99216(509) 924-5555(509) 924-8890 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sullivan Park Assisted Living Community NPPES

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

SULLIVAN PARK ASSISTED LIVING COMMUNITY (NPI 1942337068) is a healthcare organization registered as an assisted living facility in Spokane Valley, Washington and active in the NPI registry since February 2007. The organization lists Gregory J Vislocky, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1942337068
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSULLIVAN VENTURES LLC
Location Address421 S ADAMS RDSpokane Valley, WA 99216-2121
Mailing Address7700 Ne Parkway Dr, Suite 300Vancouver, WA 98662-6648 · (360) 735-7155 · Fax (360) 735-9416
Fax(509) 924-8890
Organization SubpartNo
Authorized OfficialGregory J VislockyManaging Member · (360) 735-7155
Enumeration DateFebruary 27, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1942337068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in WA · 1612
Definition
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.
421 S ADAMS RD, Spokane Valley, WA 99216

Other Names 1

Doing Business AsSullivan Park Assisted Living Community

Other Identifiers 1

Medicaid966047WA

Other Providers at the Same Location NPPES 2

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

Occupational Therapy Assistant
421 S ADAMS RD
SPOKANE VALLEY, WA 99216
Assisted Living Facility
421 S ADAMS RD
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 Sullivan Ventures LLC's NPI number?

The NPI number for Sullivan Ventures LLC is 1942337068. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider is doing business as Sullivan Park Assisted Living Community.

Where is Sullivan Ventures LLC located?

Sullivan Ventures LLC is located at 421 S Adams Rd, Spokane Valley, WA 99216. The listed phone number is (509) 924-5555.

What is Sullivan Ventures LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Sullivan Ventures LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.