PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST (NPI# 1306834627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306834627 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST |
| Other Organization Name | SKYLINE AT FIRST HILL |
| Practice Address |
715 9th Ave Seattle WA 98104-2066 |
| Mailing Address |
715 9th Ave Suite 400 Seattle WA 98104-2066 |
| Practice Telephone | 2068262120 |
| Practice Fax Number | 2068262110 |
| Mailing Telephone | 2068262120 |
| Mailing Fax Number | 2068262110 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2009-11-09 |
| Authorized Official Name | MR. FREDERICK M KELLEGREW (PRESIDENT & CEO) |
| Authorized Official Telephone | 2068262126 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | BH213 | WA | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | NH602 | WA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 4160206 | 05 |
| Other Name | Type Code |
|---|---|
| Skyline at First Hill | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801887641 | Presbyterian Retirement Communities Northwest | Assisted Living Facility | 1630 43rd Ave E, Seattle, WA 98112-6210 | 2005-11-01 |
| 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 |
715 9TH AVE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-2066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770159 | Logan Long | Occupational Therapy Assistant | 715 9th Ave, Seattle, WA 98104-2066 | 2020-11-02 |
| 1932730447 | Miranova Health Pllc | Internal Medicine | 715 9th Ave, Seattle, WA 98104-2066 | 2020-02-03 |
| 1578037297 | Andy Nam | Physical Therapy Assistant | 715 9th Ave, Seattle, WA 98104 | 2019-01-15 |
| 1992298889 | Regeena Nicole Anson | Occupational Therapy Assistant | 715 9th Ave, Seattle, WA 98104-2066 | 2018-06-14 |
| 1740789320 | Danica Louise Ajero | Physical Therapy Assistant | 715 9th Ave, Seattle, WA 98104-2066 | 2018-02-08 |
| 1669900197 | Bryan North | Physical Therapy Assistant | 715 9th Ave, Seattle, WA 98104-2066 | 2017-05-29 |
| 1386175446 | Kelly Jessica Peterson | Occupational Therapist | 715 9th Ave, Seattle, WA 98104-2066 | 2017-03-21 |
| 1215337399 | Ann Pedack | Nurse Practitioner | 715 9th Ave, Seattle, WA 98104-2066 | 2014-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| 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 |
|---|---|---|---|---|
| 1336431618 | Htl Interprises, LLC | Skilled Nursing Facility | 9619 15th Ave Nw, Seattle, WA 98117-2313 | 2011-05-05 |
| 1417111733 | Marybeth Sabine | Skilled Nursing Facility | 3634 Linden Ave N, Seattle, WA 98103-8705 | 2008-07-16 |
| 1710907233 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 16357 Aurora Ave N, Seattle, WA 98133-5651 | 2006-07-20 |
| 1386691467 | Sea Mar Skilled Nursing Facility | Skilled Nursing Facility | 1040 S Henderson St, Seattle, WA 98108-4720 | 2006-05-27 |
| 1710933999 | Sunbridge Healthcare LLC | Skilled Nursing Facility | 820 Nw 95th St, Seattle, WA 98117-2207 | 2006-05-26 |
| 1386699932 | West Seattle Operations, LLC | Skilled Nursing Facility | 4700 Sw Admiral Way, Seattle, WA 98116-2316 | 2006-05-23 |
| 1932157641 | Evergreen Washington Healthcare Greenwood, L.L.C. | Skilled Nursing Facility | 13333 Greenwood Ave N, Seattle, WA 98133-7312 | 2006-05-05 |
| 1619934999 | The Kenney | Skilled Nursing Facility | 7125 Fauntleroy Way Sw, Seattle, WA 98136-2008 | 2006-04-28 |
| 1205811585 | Northwest Care-west Seattle, Inc. | Skilled Nursing Facility | 1703 California Ave Sw, Seattle, WA 98116-1902 | 2005-12-09 |
| 1528059094 | Bayview Manor Homes | Skilled Nursing Facility | 11 W Aloha St, Seattle, WA 98119-3743 | 2005-11-02 |
| Find all providers in SEATTLE | ||||
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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.