NORTHWEST CARE-SHORELINE, INC. (NPI# 1285619577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285619577 |
Entity Type | Organization |
Organization Name | NORTHWEST CARE-SHORELINE, INC. |
Other Organization Name | PARK RIDGE CARE CENTER |
Practice Address |
1250 Ne 145th St Shoreline WA 98155-7134 |
Practice Telephone | 2063635856 |
Mailing Telephone | 2063635856 |
Enumeration Date | 2005-12-09 |
Last Update Date | 2011-10-04 |
Authorized Official Name | SPENCER OLSEN (CHIEF FIANCIAL OFFICER) |
Authorized Official Telephone | 9492402423 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 1351 | WA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 4113510 | 05 |
Other Name | Type Code |
---|---|
PARK RIDGE CARE CENTER | Doing Business As Name - Organization |
Street Address |
1250 NE 145TH ST |
City | SHORELINE |
State | WA |
Zip Code | 98155-7134 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962988485 | Mathew John Hilton | Physical Therapist | 1250 Ne 145th St, Shoreline, WA 98155-7134 | 2018-07-17 |
1619416369 | Adeline Chan | Physical Therapist | 1250 Ne 145th St, Shoreline, WA 98155-7134 | 2017-02-14 |
1245569565 | Catherine Clarite Campo | Physical Therapy Assistant | 1250 Ne 145th St, Shoreline, WA 98155-7134 | 2009-12-15 |
1376747311 | Johna E Frisch | Occupational Therapist | 1250 Ne 145th St, Shoreline, WA 98155-7134 | 2007-06-13 |
1427267004 | Joyce S Izumi | Occupational Therapist | 1250 Ne 145th St, Shoreline, WA 98155-7134 | 2007-05-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922575703 | Dale Worrell | Counselor | Center for Human Services, 17018 15th Ave Ne, Shoreline, WA 98155 | 2018-10-30 |
1770060568 | Jason Freed | Occupational Therapist | 1250 Ne 145th St., Shoreline, WA 98155 | 2018-07-24 |
1497208771 | Mirit Markowitz | Counselor | 14803 15 Ave Ne, Seattle, WA 98155 | 2016-08-03 |
1003207788 | Jessica Hinckley | Counselor | 17018 15tth Ave Ne, Shoreline, WA 98155 | 2015-02-17 |
1407119001 | Erika Tydor | Optometrist | 18021 15th Ave Ne Suite 100, Shoreline, WA 98155 | 2012-06-19 |
1891075917 | Kieran Joseph Mcmanimon | Massage Therapist | 18724 35th Ave Ne, Lake Forest Park, WA 98155 | 2011-08-20 |
1376841270 | Kym Kolb | Massage Therapist | 17908 15th Ave Ne, Shoreline, WA 98155 | 2011-03-02 |
1205069333 | Acclaim Body Care, LLC | Massage Therapist | 17517 15th Ave., Suite B, Shoreline, WA 98155 | 2009-08-24 |
1881834570 | Jason Sailesh Dave | Naturopath | 2871 University St, Seattle, WA 98155 | 2009-02-20 |
1396918975 | Ashleigh Veronique Schultz | Counselor | 216 Ne 175th Street, Shoreline, WA 98155 | 2008-04-04 |
Find all providers in zip 98155 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
1558521153 | Michael Garnet Reasner | Skilled Nursing Facility | 17201 15th Ave Ne, Shoreline, WA 98155-5129 | 2008-06-17 |
1699872382 | Crista Ministries | Skilled Nursing Facility | 19301 Kings Garden Dr N, Shoreline, WA 98133-3838 | 2006-09-17 |
1649251653 | Eagle Healthcare, Inc | Skilled Nursing Facility | 2818 Ne 145th St, Shoreline, WA 98155-7556 | 2005-11-07 |
1508854944 | Ah, LLC | Skilled Nursing Facility | 17127 15th Ave Ne, Shoreline, WA 98155-5127 | 2005-10-10 |
1316932114 | Richmond Beach Rehab LLC | Skilled Nursing Facility | 19235 15th Ave Nw, Shoreline, WA 98177-2725 | 2005-09-18 |
1447647482 | North Lake 5-o, LLC | Skilled Nursing Facility | 2818 Ne 145th St, Shoreline, WA 98155-7556 | 2015-04-16 |
1710218656 | Richmond Beach Rehab LLC | Skilled Nursing Facility | 19235 15th Ave Nw, Shoreline, WA 98177-2725 | 2010-01-15 |
1326273889 | Pinehurst Park Royal Operations, LLC | Skilled Nursing Facility | 2818 Ne 145th St, Shoreline, WA 98155-7556 | 2009-05-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821639717 | Atsugi LLC | Skilled Nursing Facility | 23815 Se 28th St, Sammamish, WA 98075 | 2019-10-02 |
1457840795 | Mission Healthcare At Renton, LLC | Skilled Nursing Facility | 17420 106th Pl Se, Renton, WA 98055-5438 | 2018-05-02 |
1104330349 | North Auburn Health, LLC | Skilled Nursing Facility | 2830 I Street Ne, Auburn, WA 98002 | 2017-11-27 |
1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
1215455365 | Thirty Three Oaks, LLC | Skilled Nursing Facility | 400 E. 33rd St., Vancouver, WA 98663 | 2017-09-08 |
1265950422 | University Place Rehabilitation Center, LLC | Skilled Nursing Facility | 5520 Bridgeport Way W., University Place, WA 98467 | 2017-09-07 |
1235662081 | Alexandra Vick | Skilled Nursing Facility | 18621 29th Ave E, Tacoma, WA 98445-4323 | 2017-04-08 |
1255883831 | Heron's Key | Skilled Nursing Facility | 4340 Borgen Blvd, Gig Harbor, WA 98332-7000 | 2016-10-28 |
1245788660 | Susan Jenks | Skilled Nursing Facility | 28628 Se 226th St, Maple Valley, WA 98038-6900 | 2016-09-14 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.