NORTHWEST CARE-ISSAQUAH, INC. (NPI# 1629265871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629265871 |
| Entity Type | Organization |
| Organization Name | NORTHWEST CARE-ISSAQUAH, INC. |
| Practice Address |
805 Front St S Issaquah WA 98027-4205 |
| Mailing Address |
3 Monarch Bay Plz Suite 203 Dana Point CA 92629-3440 |
| Practice Telephone | 4253921271 |
| Practice Fax Number | 4255575563 |
| Mailing Telephone | 9492402423 |
| Mailing Fax Number | 9492406557 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2013-12-04 |
| Authorized Official Name | MR. SPENCER OLSEN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9492402423 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1407 | WA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE PROVIDER NUMBER | 505004 | 01 |
| WA | 4114070 | 05 |
| Street Address |
805 FRONT ST S |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98027-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700249 | Bouchy, LLC | Skilled Nursing Facility | 805 Front St S, Issaquah, WA 98027-4205 | 2005-06-14 |
| 1184182008 | Jenmark | Internal Medicine | 805 Front St S, Issaquah, WA 98027-4205 | 2019-03-10 |
| 1023563962 | Jayne K Ciarlanti | Nurse Practitioner | 805 Front St S, Issaquah, WA 98027-4205 | 2016-08-21 |
| 1497138077 | Kimberly Thomas | Speech-Language Pathologist | 805 Front St S, Issaquah, WA 98027-4205 | 2015-07-01 |
| 1770963126 | Michael Zarate | Physical Therapist | 805 Front St S, Issaquah, WA 98027-4205 | 2015-06-01 |
| 1841679438 | Ryan Face | Physical Therapist | 805 Front St S, Issaquah, WA 98027-4205 | 2015-05-28 |
| 1184037988 | Emma Loftus | Nurse Practitioner | 805 Front St S, Issaquah, WA 98027-4205 | 2014-06-09 |
| 1124364906 | Shaily Arya | Nurse Practitioner | 805 Front St S, Issaquah, WA 98027-4205 | 2012-12-22 |
| 1205123478 | Salony Majmudar | Physical Medicine & Rehabilitation | 805 Front St S, Issaquah, WA 98027-4205 | 2011-07-07 |
| 1619136538 | Huiru Kang | Physical Therapy Assistant | 805 Front St S, Issaquah, WA 98027-4205 | 2008-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1700494630 | Genevieve S Ward | Counselor | 22500 Se 64th Place, Building G, Suite 150, Issaquah, WA 98027 | 2020-07-16 |
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1578055083 | Vivian Yu-en Hsiao | Physical Therapist | 1301 4th Ave Nw Ste 300, Issaquah, WA 98027 | 2018-05-31 |
| 1831698000 | Peter James Carlson | Physical Therapist | 22500 Se 64th Place, Building G, Suite 115, Issaquah, WA 98027 | 2018-02-02 |
| 1902323553 | David Robert Primrose | Dentist | 600 Nw Gilman Blvd Ste B, Issaquah, WA 98027 | 2017-08-24 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1295276194 | Amy Davenport | Occupational Therapist | 1871 Nw Gilman Blvd #2, Issaquah, WA 98027 | 2017-03-13 |
| 1942751771 | Krista L Gibbons | Counselor | 1700 Nw Blvd, Suite #200, Issaquah, WA 98027 | 2016-10-17 |
| 1376903237 | Kari Wathen Torres | Occupational Therapist | 710 Nw Juniper St Ste 100, Issaquah, WA 98027 | 2016-03-03 |
| Find all providers in zip 98027 | ||||
| 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 |
|---|---|---|---|---|
| 1518150663 | Lcs-westminster Partnership IIi LLP | Skilled Nursing Facility | 100 Timber Ridge Way Nw, Issaquah, WA 98027-8890 | 2007-08-22 |
| 1598750895 | Providence Health & Services Washington | Skilled Nursing Facility | 3725 Providence Point Dr Se, Issaquah, WA 98029-7219 | 2005-09-13 |
| 1992700249 | Bouchy, LLC | Skilled Nursing Facility | 805 Front St S, Issaquah, WA 98027-4205 | 2005-06-14 |
| 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 |
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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.