Cherrywood Place

LBN: Extendicare Homes, Inc.
Cherrywood Place is an health care organization with primary practice located at 100 E Dalke Ave , Spokane WA 99208-1006. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Extendicare Homes, Inc. can be contacted via phone (509) 484-3553, or through Maassen, Donna Jo via phone (414) 908-8119.

Contact Information

Primary practice address
100 E Dalke Ave Spokane WA 99208-1006
Fax: (509) 484-3585
Website:
Authorized official contact:
Name: Maassen, Donna Jo

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X BH812 Washington

Profile Details

NPI number 1740345800
LBN Legal business name Extendicare Homes, Inc.
DBA Doing business as Cherrywood Place
Authorized official Maassen, Donna Jo
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Apr 7th, 2008 - about 16 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 1740345800 NPPES
Washington MEDICAID 127182

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