PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST NPI 1801887641

NPI Information

NPI: 1801887641
Provider Name: PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST

Doing Business As: PARK SHORE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

Address:
1630 43RD AVE E
SEATTLE, WA
ZIP 98112
Phone: (206) 329-0770
Get Directions

PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST is an assisted living facility in Seattle, WA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST NPI is 1801887641. The provider is registered as an organization entity type.
The provider Is Doing Business As Park Shore.

The provider's business location address is:

1630 43RD AVE E
SEATTLE, WA
ZIP 98112-210
Phone: (206) 329-0770
Fax: (206) 329-0227

The provider's authorized official is Janet E Nahlin .
The authorized official title is Director Of Nursing Services and has the following contact phone number (206) 329-0770.

The CLIA number assigned to this NPI record is 50D0883717 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2005 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		BH 183	WASHINGTON	Yes
2	314000000X	Skilled Nursing Facility		489	WASHINGTON	X

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4111670	MEDICAID	WASHINGTON
2	489	OTHER	WASHINGTON	NURSING HOME LICENSE
3	BH 183	OTHER	WASHINGTON	BOARDINGHOME LICENSE

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

NPI Synchronization or Removal

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