MEDICARE: CARING COUVE MANOR LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1730013608
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING COUVE MANOR LLC

Provider Business Mailing Address
First Line	:	918 NE 91ST AVE
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98664-3267
Country	:	US
Telephone Number	:	971-282-7202
Fax Number	:	360-828-1918

Provider Business Practice Location Address
First Line	:	918 NE 91ST AVE
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98664-3267
Country	:	US
Telephone Number	:	971-282-7202
Fax Number	:	360-828-1918

Authorized Official
Title or Position	:	PROVIDER
Name	:	WILLIAM SUNGA
Credential	:
Telephone Number	:	971-282-7202

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “CARING COUVE MANOR LLC ” Practice Location

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