Healthcare Provider Details

I. General information

NPI: 1154381358
Provider Name (Legal Business Name): RIVERVIEW LUTHERAN RETIREMENT COMMUNITY OF SPOKANE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1841 E UPRIVER DR
SPOKANE WA
99207-5164
US

IV. Provider business mailing address

1841 E UPRIVER DR
SPOKANE WA
99207-5164
US

V. Phone/Fax

Practice location:
  • Phone: 509-482-8137
  • Fax: 509-482-8176
Mailing address:
  • Phone: 509-482-8137
  • Fax: 509-482-8176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: DANIE MONICA MONAGHAN
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 509-482-8120