Providence Senior Home Llc

LBN: Providence Senior Home Llc
Providence Senior Home Llc is an health care organization with primary practice located at 3623 W Indian Trail Rd , Spokane WA 99208. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Providence Senior Home Llc can be contacted via phone (509) 710-2776, or through Codreanu, Sandu via phone (509) 638-8738.

Contact Information

Primary practice address
3623 W Indian Trail Rd Spokane WA 99208
Phone: (509) 710-2776
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Codreanu, Sandu NAC
Phone: (509) 638-8738

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X A752165 Washington

Profile Details

NPI number 1134520463
LBN Legal business name Providence Senior Home Llc
DBA Doing business as
Authorized official Codreanu, Sandu NAC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2014
Last updated Sep 5th, 2014 - about 11 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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