# CASCADE VISTA CONVALESCENT CENTER, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336147388
- **Authorized official:** TERRY CAFFEY (CONTROLLER)
- **Authorized official phone:** (425) 885-4157

## Contact information

- **Practice address:** 7950 WILLOWS RD NE, REDMOND, WA 98052-6813
- **Practice address phone:** (425) 885-4157
- **Practice address fax:** (425) 882-3308
- **Mailing address:** 7950 WILLOWS RD NE, REDMOND, WA 98052-6813
- **Mailing address phone:** (425) 885-4157
- **Mailing address fax:** (425) 882-3308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH954 | WA | Yes |

## Other

- **Enumeration date:** 07/13/2005
- **Last updated:** 06/13/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4195400 | — | WA |