KINDRED NURSING CENTERS WEST, LLC (NPI# 1023039872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023039872 |
| Entity Type | Organization |
| Organization Name | KINDRED NURSING CENTERS WEST, LLC |
| Practice Address |
11411 Bridgeport Way Sw Lakewood WA 98499-3006 |
| Mailing Address |
680 S 4th St Louisville KY 40202-2407 |
| Practice Telephone | 2535819002 |
| Practice Fax Number | 2535817016 |
| Mailing Telephone | 5025967301 |
| Mailing Fax Number | 5025964134 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2017-10-18 |
| Authorized Official Name | MS. MARILYN A. WEAVER (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5025967300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1256 | WA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE BLUE SHIELD | 505347 | 01 |
| WA | TRICARE FOR LIFE | 505347 | 01 |
| WA | TRIWEST ALLIANCE | 505347 | 01 |
| WA | CHAMP VA | 505347 | 01 |
| WA | WA STATE LABOR & INDUSTRY | 69308 | 01 |
| WA | AETNA | 505347 | 01 |
| WA | PREMERA BLUE CROSS | 505347 | 01 |
| WA | 4112561 | 05 | |
| WA | SECURE HORIZONS | 505347 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548657083 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1880 E Van Buren St, Phoenix, AZ 85006-3742 | 2015-04-22 |
| 1053480343 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 2121 Pine St, San Francisco, CA 94115-2829 | 2006-11-08 |
| 1508943283 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 660 S Coronado Dr, Sierra Vista, AZ 85635-3386 | 2006-11-01 |
| 1043303571 | Kindred Nursing Centers West, LLC | Respite Care | 10201 E 3rd Ave, Aurora, CO 80010-4301 | 2006-10-02 |
| 1033127113 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 200 N Oregon St, Dillon, MT 59725-3624 | 2006-08-04 |
| 1871501098 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1500 32nd St S, Great Falls, MT 59405-5300 | 2006-08-03 |
| 1750396248 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1115 Capitola Rd, Santa Cruz, CA 95062-2844 | 2006-07-31 |
| 1386659738 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 601 W Cameron Ave, Kellogg, ID 83837-2004 | 2006-07-31 |
| 1215942065 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1575 7th Ave, San Francisco, CA 94122-3704 | 2006-07-30 |
| 1891700464 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1517 E Knickerbocker Dr, Stockton, CA 95210-3119 | 2006-07-30 |
| Street Address |
11411 BRIDGEPORT WAY SW |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184257289 | Yuliya Johnson | Psychologist | 11411 Bridgeport Way Sw, Lakewood, WA 98499-3047 | 2020-02-17 |
| 1073173795 | Heather Manuel | Occupational Therapist | 11411 Bridgeport Way Sw, Lakewood, WA 98499-3047 | 2019-06-14 |
| 1700395258 | Milaneya Karcha | Occupational Therapy Assistant | 11411 Bridgeport Way Sw, Lakewood, WA 98499-3047 | 2017-09-28 |
| 1386162501 | Lakewood Oaks, LLC | Skilled Nursing Facility | 11411 Bridgeport Way Sw, Lakewood, WA 98499-3047 | 2017-09-08 |
| 1508258310 | Kyle D Mahaffey | Physician Assistant | 11411 Bridgeport Way Sw, Lakewood, WA 98499-3047 | 2015-03-03 |
| 1184887366 | Lakewood Healthcare | Skilled Nursing Facility | 11411 Bridgeport Way Sw, Lakewood, WA 98499 | 2008-07-08 |
| 1184885808 | Michelle Lynn Campbell | Physical Therapist | 11411 Bridgeport Way Sw, Lakewood, WA 98499-3047 | 2008-06-25 |
| 1467611442 | Shiladitya Roy | Speech-Language Pathologist | 11411 Bridgeport Way Sw, Lakewood, WA 98499 | 2008-06-05 |
| 1972762904 | Delpha E Pike | Occupational Therapy Assistant | 11411 Bridgeport Way Sw, Lakewood, WA 98499 | 2008-06-05 |
| 1730348715 | Sandra Kay Tippie | Physical Therapy Assistant | 11411 Bridgeport Way Sw, Lakewood, WA 98499 | 2008-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| 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 |
|---|---|---|---|---|
| 1124656202 | Bedrock Hcs At Daytona Fl LLC | Skilled Nursing Facility | 1776 Avenue of The States Ste 301, Lakewood, NJ 08701-4592 | 2020-04-01 |
| 1871154419 | Ahc of Lakewood, LLC | Skilled Nursing Facility | 1565 Pierson Street, Lakewood, CO 80215 | 2019-06-25 |
| 1639631104 | West Salem Operations LLC | Skilled Nursing Facility | 23 Shenandoah Dr, Lakewood, NJ 08701-4979 | 2019-04-03 |
| 1720520729 | Meghan Ricketson | Skilled Nursing Facility | 5962 W Pacific Cir, Lakewood, CO 80227-2583 | 2016-11-08 |
| 1932564994 | Loveland Elder Green House Homes for Life Enhancement | Skilled Nursing Facility | 12136 W Bayaud Ave Ste 200, Lakewood, CO 80228-2115 | 2015-12-17 |
| 1598176828 | Loveland Elder Green House Homes for Life Enrichment A Colorado Non | Skilled Nursing Facility | 12136 W Bayaud Ave, Suite 200, Lakewood, CO 80228-2115 | 2014-05-08 |
| 1588089676 | 7395 W Eastman Place Operations LLC | Skilled Nursing Facility | 7395 W. Eastman Place, Lakewood, CO 80227-1234 | 2014-02-26 |
| 1275855058 | Azura of Lakewood, LLC | Skilled Nursing Facility | 7395 West Eastman Place, Lakewood, CO 80227-5039 | 2010-02-22 |
| 1922147784 | W IIi, Inc. | Skilled Nursing Facility | 1655 Eaton St, Lakewood, CO 80214-1628 | 2007-02-06 |
| 1750431912 | Mile High Care Services LLC | Skilled Nursing Facility | 115 Ingalls St, Lakewood, CO 80226-1815 | 2007-01-11 |
| Find all providers in LAKEWOOD | ||||
Please comment or provide details below to improve the information on KINDRED NURSING CENTERS WEST, LLC.
| 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.