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ASHLEY HOUSE NPI 1457575151


NPI Information

NPI: 1457575151
Provider Name: ASHLEY HOUSE
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

CLIA Number: 50D2245336

Address:
1810 BROWNS POINT BLVD NE
TACOMA, WA
ZIP 98422
Phone: (253) 952-0503
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ASHLEY HOUSE is a nursing care and pediatric skilled nursing facility in Tacoma, WA. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. ASHLEY HOUSE NPI is 1457575151. The provider is registered as an organization entity type.

The provider's business location address is:

1810 BROWNS POINT BLVD NE
TACOMA, WA
ZIP 98422-372
Phone: (253) 952-0503

The provider's authorized official is Ken Maaz .
The authorized official title is Executive Director and has the following contact phone number (253) 533-9050.

The CLIA number assigned to this NPI record is 50D2245336 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 9/25/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13140N1450XSkilled Nursing FacilityNursing Care, PediatricYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19030560MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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