Providence Senior Home LLC
NPI 1134520463 · Health Maintenance Organization · Spokane, WA
Providence Senior Home LLC is a Health Maintenance Organization organization in Spokane, WA (NPI 1134520463).
Provider details
- NPI number
- 1134520463
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Sandu Codreanu, Owner/Provider(509) 638-8738
- License
- A752165 (WA)
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-09-05
- Last updated
- 2014-09-05
Frequently asked questions
- What is Providence Senior Home LLC's NPI number?
- Providence Senior Home LLC's National Provider Identifier (NPI) is 1134520463, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Senior Home LLC?
- Providence Senior Home LLC is classified in the NPPES registry as Health Maintenance Organization (Managed Care Organizations).
- Where is Providence Senior Home LLC located?
- Providence Senior Home LLC's practice location on file with NPPES is 3623 W Indian Trail Rd, Spokane, WA 99208.
- What is Providence Senior Home LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Senior Home LLC is (509) 710-2776.
- Who is the authorized official for Providence Senior Home LLC?
- The authorized official listed on Providence Senior Home LLC's NPPES record is Sandu Codreanu, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Senior Home LLC's NPI active?
- Yes — Providence Senior Home LLC's NPI (1134520463) is active in the NPPES registry as of the last update on 2014-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.