Sullivan Park Care Center

LBN: Care Center (Sullivan Park) Inc
Sullivan Park Care Center is an health care organization with primary practice located at 14820 E 4Th Ave , Spokane Valley WA 99216-2165. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Care Center (Sullivan Park) Inc can be contacted via phone (509) 922-1644, or through Vislocky, Gregory J via phone (360) 735-7155.

Contact Information

Primary practice address
14820 E 4Th Ave Spokane Valley WA 99216-2165
Phone: (509) 922-1644
Fax: (509) 922-8817
Website:
Map and Directions
Authorized official contact:
Name: Vislocky, Gregory J
Phone: (360) 735-7155

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1345 Washington

Profile Details

NPI number 1487640678
LBN Legal business name Care Center (Sullivan Park) Inc
DBA Doing business as Sullivan Park Care Center
Authorized official Vislocky, Gregory J
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487640678 NPPES
Washington MEDICAID 4110698

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