AACRES WA, LLC (NPI# 1326486069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326486069 |
| Entity Type | Organization |
| Organization Name | AACRES WA, LLC |
| Practice Address |
5709 W Sunset Hwy Ste 100 Spokane WA 99224 |
| Practice Telephone | 5093282740 |
| Practice Fax Number | 5097893323 |
| Mailing Telephone | 5093282740 |
| Mailing Fax Number | 5097893323 |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2016-02-25 |
| Authorized Official Name | MICHELLE WILSON (BILLING MANAGER) |
| Authorized Official Telephone | 5092092777 |
| Is Organization Subpart | Y |
| Parent Organization Name | EMBASSY MANAGEMENT, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | AACRES WA, LLC | 5709 W Sunset Hwy Ste 100, Spokane, WA 99224-9446 |
| Street Address |
5709 W SUNSET HWY STE 100 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629319272 | Diane Kay Hudson | Behavioral Analyst | 5709 W Sunset Hwy, Suite 100, Spokane, WA 99224-6005 | 2013-03-06 |
| 1760028534 | Sofia Ruth Opyr-huskey | Behavior Technician | 5709 W Sunset Hwy, Suite 101, Spokane, WA 99224-9446 | 2019-11-26 |
| 1386295103 | Sarah Sanvictores | Behavior Technician | 5709 W Sunset Hwy, Spokane, WA 99224-6005 | 2019-09-23 |
| 1619534583 | Emily Anne Kayde Bray | Behavioral Analyst | 5709 W Sunset Hwy, Spokane, WA 99224-6005 | 2019-05-24 |
| 1417511031 | Alexander Angel Garza | Behavior Technician | 5709 W Sunset Hwy, Spokane, WA 99224-6005 | 2019-04-29 |
| 1326601162 | Andrea Cox | Behavior Technician | 5709 W Sunset Hwy, Spokane, WA 99224-6005 | 2019-04-17 |
| 1730647280 | Gabrielle M Aranda | Behavioral Analyst | 5709 W Sunset Hwy, Spokane, WA 99224-6005 | 2019-03-04 |
| 1801323720 | Samantha Ramirez | Behavioral Analyst | 5709 W Sunset Hwy, Spokane, WA 99224-6005 | 2017-05-23 |
| 1841726239 | Jose Diaz | Behavioral Analyst | 5709 W Sunset Hwy, Suite 100, Spokane, WA 99224-6005 | 2017-05-04 |
| 1558819656 | Denise Ann Whitesel Mallek | Behavioral Analyst | 5709 W Sunset Hwy, Suite 100, Spokane, WA 99224-6005 | 2016-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447711668 | Elizabeth Cynthia Young | Counselor | 8727 Us-2, Spokane, WA 99224 | 2019-03-29 |
| 1528535952 | Mailene Bianca Orozco | Counselor | 11919 Sprague Ave, Airway Heights, WA 99224 | 2018-10-24 |
| 1124519756 | Jai'lysa Hoskins | Counselor | 1700 S Assembly St, Spokane, WA 99224 | 2018-05-18 |
| 1770012171 | John T Messick | Emergency Medical Technician, Basic | 5410 S Osprey Heights Dr, Spokane, WA 99224 | 2017-06-08 |
| 1780130328 | Ashana Kelly | Behavioral Analyst | 5709 West Sunset Hwy #100, Spokane, WA 99224 | 2016-09-01 |
| 1740690247 | Latah Creek Family Dentistry | Dentist | 4001 S Cheney-spokane Rd, Suite B, Spokane, WA 99224 | 2014-05-06 |
| 1265735609 | Kyle Ray Stewart | Massage Therapist | 10620 W12th #335, Spokane, WA 99224 | 2010-12-07 |
| 1285950311 | Katherine Elaine Bunze | Contractor | 809 S Assembly, Spokane, WA 99224 | 2010-04-14 |
| 1801370044 | Joseph Dickens | Social Worker | 1700 S Assembly St Ste 300, Spokane, WA 99224 | 2018-09-24 |
| 1598143489 | Megan Marie Kerby | Behavioral Analyst | 5709 W Sunset Hwy Ste 100, Spokane, WA 99224 | 2015-05-11 |
| Find all providers in zip 99224 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114537768 | Sea - Mar Community Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1040 S Henderson St Fl 3, Seattle, WA 98108-4720 | 2020-08-07 |
| 1205330164 | Valley Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 240 Bush St, Walla Walla, WA 99362-2618 | 2018-03-23 |
| 1730315961 | Ambitions of Washington, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 511 N Argonne Rd Ste 200, Spokane Valley, WA 99212-2878 | 2009-06-02 |
| 1326288762 | Healing Heart Home Health Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1756 106th St S # B-101, Parkland, WA 98444-8827 | 2009-02-25 |
| 1346459138 | Rocky Bay Health Care Facility | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17526 State Route 302 Kp N, Gig Harbor, WA 98329-5672 | 2007-05-21 |
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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.