VANCOUVER SENIOR LIVING, LLC (NPI# 1992825921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992825921 |
| Entity Type | Organization |
| Organization Name | VANCOUVER SENIOR LIVING, LLC |
| Other Organization Name | FISHER'S LANDING ASSISTED LIVING COMMUNITY |
| Practice Address |
17171 Se 22nd Dr Vancouver WA 98683-3309 |
| Mailing Address |
3723 Fairview Industrial Dr Se Ste 270 Salem OR 97302-4975 |
| Practice Telephone | 3608851400 |
| Mailing Telephone | 5034854600 |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JON HARDER (MANAGER) |
| Authorized Official Telephone | 5034854600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | BH 1847 | WA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Fisher's Landing Assisted Living Community | Doing Business As Name - Organization |
| Street Address |
17171 SE 22ND DR |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98683-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699089821 | Emeritus Corporation | Assisted Living Facility | 17171 Se 22nd Dr, Vancouver, WA 98683-3309 | 2010-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1982116695 | Amy K Adams | Massage Therapist | 2716 Se 169th Ave, X-232, Vancouver, WA 98683 | 2017-11-03 |
| 1477088920 | Alexandra Ransonet | Dental Hygienist | 19111 Se 34th. St., Vancouver, WA 98683 | 2017-04-21 |
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1447706742 | Jennifer Horst | Massage Therapist | 3401 Se 192nd. Ave. Suite 107, Vancouver, WA 98683 | 2016-08-28 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1851782338 | Kathryn Wiedeman | Physical Therapy Assistant | 801 Se Park Crestt Ave, Vancouver, WA 98683 | 2015-02-05 |
| 1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
| Find all providers in zip 98683 | ||||
| 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 |
|---|---|---|---|---|
| 1114494432 | Columbia Vista Afh Inc | Assisted Living Facility | 7418 Se Evergreen Hwy, Vancouver, WA 98664-1718 | 2018-10-24 |
| 1629517529 | Ai Helmer | Assisted Living Facility | 13011 Ne 71st St, Vancouver, WA 98682-4861 | 2017-02-13 |
| 1427490887 | Riverside Afh | Assisted Living Facility | 7410 Se Evergreen Hwy, Vancouver, WA 98664-1718 | 2013-07-25 |
| 1912271289 | Retirement Centers Northwest Inc | Assisted Living Facility | 7808 Ne 51st St, Vancouver, WA 98662-6207 | 2012-03-02 |
| 1518239409 | Merrill Gardens, LLC | Assisted Living Facility | 10011 Ne 118th Ave, Vancouver, WA 98682-2784 | 2012-02-07 |
| 1043582208 | Windsor Gardens Inc. | Assisted Living Facility | 1602 Ne 162nd Ave, Vancouver, WA 98684-9426 | 2012-02-03 |
| 1790066793 | Glenwood Place Senior Living, LLC | Assisted Living Facility | 5500 Ne 82nd Ave, Vancouver, WA 98662-9410 | 2011-09-02 |
| 1447584594 | Park Lido, Inc. | Assisted Living Facility | 8422 Ne 8th Way, Vancouver, WA 98664-1974 | 2009-09-22 |
| 1457477994 | Assisted Living Concepts Inc | Assisted Living Facility | 2610 Se 164th Avenue, Vancouver, WA 98683 | 2007-03-22 |
| 1447387626 | Hazel Dell Ventures LLC | Assisted Living Facility | 7514 Ne 13th Ave, Vancouver, WA 98665-0458 | 2007-02-27 |
| Find all providers in VANCOUVER | ||||
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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.