Prestige Assisted Living At Hazel Dell

LBN: Hazel Dell Ventures Llc
Prestige Assisted Living At Hazel Dell is an health care organization with primary practice located at 7514 Ne 13Th Ave , Vancouver WA 98665-0458. 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. Hazel Dell Ventures Llc can be contacted via phone (360) 693-2402, or through Vislocky, Gregory J via phone (360) 735-7155.

Contact Information

Primary practice address
7514 Ne 13Th Ave Vancouver WA 98665-0458
Phone: (360) 693-2402
Fax: (360) 693-5011
Website:
Map and Directions
Authorized official contact:
Name: Vislocky, Gregory J
Phone: (360) 735-7155

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X BH 1615 Washington

Profile Details

NPI number 1447387626
LBN Legal business name Hazel Dell Ventures Llc
DBA Doing business as Prestige Assisted Living At Hazel Dell
Authorized official Vislocky, Gregory J
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1447387626 NPPES
Washington MEDICAID 995961

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