PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST (NPI# 1801887641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801887641 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST |
| Other Organization Name | PARK SHORE |
| Practice Address |
1630 43rd Ave E Seattle WA 98112-6210 |
| Practice Telephone | 2063290770 |
| Practice Fax Number | 2063290227 |
| Mailing Telephone | 2063290770 |
| Mailing Fax Number | 2063290227 |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. JANET E NAHLIN (DIRECTOR OF NURSING SERVICES) |
| Authorized Official Telephone | 2063290770 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 310400000X | Assisted Living Facility | BH 183 | WA | Nursing & Custodial Care Facilities |
| X | 314000000X | Skilled Nursing Facility | 489 | WA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 4111670 | 05 | |
| WA | NURSING HOME LICENSE | 489 | 01 |
| WA | BOARDINGHOME LICENSE | BH 183 | 01 |
| Other Name | Type Code |
|---|---|
| Park Shore | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306834627 | Presbyterian Retirement Communities Northwest | Assisted Living Facility | 715 9th Ave, Seattle, WA 98104-2066 | 2005-10-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Presbyterian Retirement Communities Northwest | 1980 112th Ave Ne Ste 210, Bellevue, WA 98004-2940 |
| Washington State Corporations | PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST | 1980 112th Ave Ne Ste 210, Bellevue, WA 98004-2940 |
| Washington State Corporations | PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST FOUNDATION | 1980 112th Ave Ne Ste 210, Bellevue, WA 98004-2940 |
| Street Address |
1630 43RD AVE E |
| City | SEATTLE |
| State | WA |
| Zip Code | 98112-6210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902318793 | Jamie Rios | Occupational Therapy Assistant | 1630 43rd Ave E, Seattle, WA 98112-6210 | 2017-11-02 |
| 1649719220 | Timothy Slinger | Physical Therapist | 1630 43rd Ave E, Seattle, WA 98112-6210 | 2017-02-16 |
| 1740641471 | Emma Dickinson | Physical Therapist | 1630 43rd Ave E, Seattle, WA 98112-6210 | 2016-03-08 |
| 1417316837 | Patrick David Nixon | Physical Therapy Assistant | 1630 43rd Ave E, Seattle, WA 98112-6210 | 2016-02-12 |
| 1215285663 | Michelle Slaughter | Physical Therapist | 1630 43rd Ave E, Seattle, WA 98112-6210 | 2012-08-15 |
| 1881907616 | Joan Salas Schottland | Physical Therapist | 1630 43rd Ave E, Seattle, WA 98112-6210 | 2010-07-21 |
| 1033396296 | Annette Hobbs | Contractor | 1630 43rd Ave E, Seattle, WA 98112-6210 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254991 | Justin Jeng-young Fu | Student in an Organized Health Care Education/Training Program | 125 16 Th Ave E, Csb 545, Seattle, WA 98112 | 2019-03-18 |
| 1275015604 | Eyewear Gallery LLC | Optometrist | 3121 E. Madison St Ste 102, Seattle, WA 98112 | 2018-09-01 |
| 1336637081 | Oh Plastic and Reconstructive Surgery LLC | Plastic Surgery | 602 27th Ave E, Seattle, WA 98112 | 2018-04-27 |
| 1992228191 | John Joseph Folta | Chiropractor | 3121 E Madison St Ste 103a, Seattle, WA 98112 | 2017-07-19 |
| 1083161061 | Sheick Toure | Counselor | 122 16 Ave E, Seattle, WA 98112 | 2016-09-07 |
| 1457721805 | Jessica Donovan | Audiologist | 201 16th Ave E # Cmb, Seattle, WA 98112 | 2015-09-29 |
| 1952777427 | Ronald Berenson | Physiological Laboratory | 2032 41st Avenue, Seattle, WA 98112 | 2015-08-19 |
| 1225419005 | Adrienne Foley | Counselor | 1833 40th Ave. E., Seattle, WA 98112 | 2015-06-17 |
| 1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
| 1134548068 | Anne Gayman | Family Medicine | 125 16th Avenue East, Csb-540, Group Health Family Medicine Residency, Seattle, WA 98112 | 2014-04-08 |
| Find all providers in zip 98112 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134671662 | Huda Np, Pllc | Assisted Living Facility | 2851 14th Ave W, #101, Seattle, WA 98119-4606 | 2016-11-01 |
| 1790142636 | Csh Queen Anne Lessee, LLC | Assisted Living Facility | 100 Crockett St, Seattle, WA 98109-2514 | 2016-01-22 |
| 1720404510 | Fred Lind Manor | Assisted Living Facility | 1802 17th Ave, Seattle, WA 98122-2722 | 2014-03-17 |
| 1770910630 | Emeritus Corporation | Assisted Living Facility | 11501 15th Ave Ne, Seattle, WA 98125-6320 | 2013-10-08 |
| 1255766325 | Huntington Retirement Homes, Inc | Assisted Living Facility | 2615 Sw Barton St, Seattle, WA 98126-3951 | 2013-09-09 |
| 1114217932 | Era Care At I.c.h., Inc. | Assisted Living Facility | 2315 Ne 65th St, Seattle, WA 98115-7069 | 2011-04-13 |
| 1538459359 | University House At Wallingford, L.L.C. | Assisted Living Facility | 4400 Stone Way N, Seattle, WA 98103-7485 | 2011-04-13 |
| 1952691776 | Lakeshore Development Assoicates Lp | Assisted Living Facility | 11448 Rainier Ave S, Seattle, WA 98178-3940 | 2011-04-13 |
| 1861782773 | Aljoya Thornton Place, LLC | Assisted Living Facility | 450 Ne 100th St, Seattle, WA 98125-8024 | 2011-04-12 |
| 1316236144 | Northaven Assisted Living | Assisted Living Facility | 11045 8th Ave Ne, Seattle, WA 98125-6163 | 2011-04-01 |
| Find all providers in SEATTLE | ||||
Please comment or provide details below to improve the information on PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST.
| 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.