WILLOW GROVE, INC. (NPI# 1073069514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073069514 |
| Entity Type | Organization |
| Organization Name | WILLOW GROVE, INC. |
| Practice Address |
1620 E Mead St Spokane WA 99218-1772 |
| Practice Telephone | 5094671135 |
| Practice Fax Number | 5094687906 |
| Mailing Telephone | 5094671135 |
| Mailing Fax Number | 5094687906 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |
| Authorized Official Name | LEROY GILBERT MATTSON (CEO, PRESIDENT) |
| Authorized Official Telephone | 50946711135 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
1620 E MEAD ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99218-1772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282455 | Timary Mathena | Specialist/Technologist | 11107 North Astor Road, Spokane, WA 99218 | 2018-04-19 |
| 1619423316 | Hi5 Orthodontics | Clinic/Center | 9425 N Nevaa, Suite 100, Spokane, WA 99218 | 2016-09-01 |
| 1245689389 | Heather Beats | Massage Therapist | 101 E. Hastings Rd. Ste G, Spokane, WA 99218 | 2016-06-09 |
| 1770979411 | Sparks Massage LLC-dba Elements Masssage | Massage Therapist | 101 E. Hastings Rd., Spokane, WA 99218 | 2015-04-09 |
| 1902295363 | Annabelle Morgan | Midwife | 11725 N Lincoln Ct, Spokane, WA 99218 | 2015-01-22 |
| 1578967543 | Deana Marie Ray | Massage Therapist | 1231 N Division, Ste 105, Spokane, WA 99218 | 2014-10-20 |
| 1770909889 | Krista Dye | Occupational Therapist | 9827 N Nevada, Spokane, WA 99218 | 2014-03-13 |
| 1265855845 | Breanna Zeis | Massage Therapist | 624 W. Hastings, Suite 16, Spokane, WA 99218 | 2014-02-02 |
| 1730516642 | Christie Nygaard | Massage Therapist | 101 E. Hastings Rd, Spokane, WA 99218 | 2013-10-09 |
| 1629312749 | Michelle Reid | Community Health Worker | 10709 N Madison, Spokane, WA 99218 | 2012-11-15 |
| Find all providers in zip 99218 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891311569 | Moran Investors LLC | Assisted Living Facility | 3319 E 57th Ave, Spokane, WA 99223-7022 | 2020-06-18 |
| 1023522216 | Cherrywood Place-spokane, LLC | Assisted Living Facility | 100 East Dalke Ave, Spokane, WA 99208 | 2017-11-27 |
| 1588105308 | Pine Ridge Management Wa LLC | Assisted Living Facility | 5615 West Umatilla, Spokane, WA 99206 | 2017-03-13 |
| 1801251566 | Spokane Royal Park Retirement, LLC | Assisted Living Facility | 302 E Wedgewood Ave, Spokane, WA 99208-5393 | 2015-12-23 |
| 1730500356 | Harbor Crest Tenant, LLC | Assisted Living Facility | 3117 E Chaser Ln, Spokane, WA 99223-7271 | 2013-12-27 |
| 1558782177 | Northpointe Tenant, LLC | Assisted Living Facility | 1110 E Westview Ct, Spokane, WA 99218-1326 | 2013-12-27 |
| 1205063625 | Riverview Lutheran Home | Assisted Living Facility | 1801 E Upriver Dr, Spokane, WA 99207-5181 | 2009-06-11 |
| 1215197215 | Barclay Benjamin LLC | Assisted Living Facility | 1100 N Superior St, Spokane, WA 99202-2002 | 2008-06-12 |
| 1891811337 | Assisted Living Concepts Inc | Assisted Living Facility | 12903 East Mission, Spokane, WA 99216 | 2007-03-22 |
| 1619093150 | Assisted Living Concepts Inc | Assisted Living Facility | 7310 N Pine Rock Street, Spokane, WA 99208 | 2007-03-22 |
| Find all providers in SPOKANE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.