BLUERIDGE AFH LLC NPI 1184152779

NPI Information

NPI: 1184152779
Provider Name: BLUERIDGE AFH LLC
Classification: Nursing Home Administrator - 376G00000X
Entity Type: Organization
Address:
2106 NW 97TH ST
SEATTLE, WA
ZIP 98117
Phone: (206) 755-0861
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BLUERIDGE AFH LLC is a nursing home administrator in Seattle, WA. The provider is an individual, often licensed by the state, who is responsible for the management of a nursing home. BLUERIDGE AFH LLC NPI is 1184152779. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2106 NW 97TH ST
SEATTLE, WA
ZIP 98117-451
Phone: (206) 755-0861

The provider's authorized official is Amante Fernando Tadique .
The authorized official title is Ceo and has the following contact phone number (206) 755-0861.

The enumeration date for this NPI number is 5/26/2017 and was last updated on 7/21/2022.

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	376G00000X	Nursing Home Administrator		A750023	WASHINGTON	Yes

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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