FORT EBEY HOLDINGS LLC (NPI# 1346873130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346873130 |
| Entity Type | Organization |
| Organization Name | FORT EBEY HOLDINGS LLC |
| Practice Address |
311 Ne 3rd St Coupeville WA 98239-3427 |
| Mailing Address |
555 N El Camino Real # 266 San Clemente CA 92672-6740 |
| Practice Telephone | 3606782273 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | KIRKMAN LINDAHL (MANAGER) |
| Authorized Official Telephone | 9496976456 |
| Is Organization Subpart | Y |
| Parent Organization Name | FOUNDATION HEALTHCARE SERVICES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
311 NE 3RD ST |
| City | COUPEVILLE |
| State | WA |
| Zip Code | 98239-3427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508864935 | Ron Hayes & Associates Inc | Skilled Nursing Facility | 311 Ne 3rd St, Coupeville, WA 98239-3427 | 2005-07-10 |
| 1093326423 | Regency Coupeville, LLC | Skilled Nursing Facility | 311 Ne 3rd St, Coupeville, WA 98239-3427 | 2020-08-10 |
| 1811498199 | Diane Marie Trepanier | Nurse Practitioner | 311 Ne 3rd St, Coupeville, WA 98239-3427 | 2018-02-22 |
| 1508282203 | Laura Greer | Occupational Therapist | 311 Ne 3rd St, Coupeville, WA 98239-3427 | 2014-03-05 |
| 1932476306 | Susan J Taves | Physical Therapist | 311 Ne 3rd St, Coupeville, WA 98239-3427 | 2011-11-29 |
| 1518194851 | Marci Ameluxen | Occupational Therapist | 311 Ne 3rd St, Coupeville, WA 98239-3427 | 2009-06-14 |
| 1386878726 | Elizabeth Ann Cardoza | Occupational Therapist | 311 Ne 3rd St, Coupeville, WA 98239-3427 | 2009-05-13 |
| 1790919629 | Stephen Goodnough | Physical Therapy Assistant | 311 Ne 3rd St, Coupeville, WA 98239-3427 | 2009-05-06 |
| 1043474687 | Marcella Denise Zarifis | Occupational Therapist | 311 Ne 3rd St, Coupeville, WA 98239 | 2008-07-14 |
| 1447441936 | Mary Boardman | Occupational Therapist | 311 Ne 3rd St, Coupeville, WA 98239-3427 | 2007-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295012151 | Charles Wynkoop | Counselor | 105 N W 1st Street, Coupeville, WA 98239 | 2011-11-07 |
| 1740584598 | Justine Hagness | Counselor | 105 Northwest 1st Street, Coupeville, WA 98239 | 2011-01-07 |
| 1659674851 | Lindsay Rae Farish | Physical Therapist | 35 Nw 1st Street, Coupeville, WA 98239 | 2010-12-09 |
| 1144550526 | Lori B Taylor | Nutritionist | 107 South Main St., Suite D201, Coupeville, WA 98239 | 2010-01-06 |
| 1013155407 | Tana Louise Cornelius | Respiratory Therapist, Registered | 1143 Nimitz Dr, Coupeville, WA 98239 | 2009-01-23 |
| 1447413091 | Whidbey Island Public Hospital District | General Acute Care Hospital | 205 S Main Street, A, Coupeville, WA 98239 | 2008-07-03 |
| 1831375138 | Laura Ann Natusch | Marriage & Family Therapist | 604 Nw Glenwood Court, Coupeville, WA 98239 | 2008-01-16 |
| 1417139791 | Compass Health | Community/Behavioral Health | 105 Northwest First Street, Coupeville, WA 98239 | 2007-11-29 |
| 1972723724 | Stanley Norling Anderson | Dentist | 412 N. Main St., Coupeville, WA 98239 | 2007-04-26 |
| 1053476457 | Bj Solberg | Social Worker | 105 N. First St., Coupeville, WA 98239 | 2006-12-26 |
| Find all providers in zip 98239 | ||||
| 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 |
|---|---|---|---|---|
| 1508864935 | Ron Hayes & Associates Inc | Skilled Nursing Facility | 311 Ne 3rd St, Coupeville, WA 98239-3427 | 2005-07-10 |
| 1093326423 | Regency Coupeville, LLC | Skilled Nursing Facility | 311 Ne 3rd St, Coupeville, WA 98239-3427 | 2020-08-10 |
| 1912109729 | Anne Marjorie Erickson-hare | Skilled Nursing Facility | 311 Ne 3rd St, Careage of Whidbey, Coupeville, WA 98239-3427 | 2007-06-04 |
| 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 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 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 |
| Find all providers with the same taxonomy | ||||
| City | COUPEVILLE |
| Zip Code | 98239 |
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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.