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PARK PLACE RHF HOUSING NPI 1780004838


NPI Information

NPI: 1780004838
Provider Name: PARK PLACE RHF HOUSING

Doing Business As: PARK PLACE ASSISTED LIVING

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

CLIA Number: 50D2234145

Address:
6900 37TH AVE S
SEATTLE, WA
ZIP 98118
Phone: (206) 722-7275
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PARK PLACE RHF HOUSING 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. PARK PLACE RHF HOUSING NPI is 1780004838. The provider is registered as an organization entity type.
The provider Is Doing Business As Park Place Assisted Living.

The provider's business location address is:

6900 37TH AVE S
SEATTLE, WA
ZIP 98118-425
Phone: (206) 722-7275
Fax: (206) 723-7275

The provider's authorized official is Carol L Foltz .
The authorized official title is Administrator and has the following contact phone number (206) 722-7275.

The CLIA number assigned to this NPI record is 50D2234145 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2014 and was last updated on 4/16/2014.


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
1310400000XAssisted Living FacilityBH1532WASHINGTONYes

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
1574818MEDICAIDWASHINGTON

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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