Cascade Park Specialty Care Home LLC

Registered Nurse in Vancouver, WA. Organization (NPI-2).

NPI number1497519151

StatusActive

Last updated in NPPESFeb 12, 2024

Details

NPI: 1497519151
Entity type: Organization (NPI-2)
Legal business name: Cascade Park Specialty Care Home LLC
Organization subpart: No
Enumeration date: Feb 12, 2024
Certification date: Feb 12, 2024
Last updated: Feb 12, 2024

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
163W00000X	Registered Nurse	–	–	Yes

Practice location

2308 Se 146th Ave
Vancouver, WA 98683-8444

Phone 360-558-7244

Mailing address

2308 Se 146th Ave
Vancouver, WA 98683-8444

Phone 360-558-7244

Authorized official

Alin Bob
President
5039138129

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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