Provider Demographics
NPI:1144181579
Name:CS HINCKLEY GROUP HOME LLC
Entity type:Organization
Organization Name:CS HINCKLEY GROUP HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:ANDAYE
Authorized Official - Last Name:HINCKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:509-443-5150
Mailing Address - Street 1:606 W JAY AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-2139
Mailing Address - Country:US
Mailing Address - Phone:509-443-5150
Mailing Address - Fax:509-816-1999
Practice Address - Street 1:606 W JAY AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-2139
Practice Address - Country:US
Practice Address - Phone:509-443-5150
Practice Address - Fax:509-816-1999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-24
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home