BD TACOMA I, LLC (NPI# 1316045537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316045537 |
| Entity Type | Organization |
| Organization Name | BD TACOMA I, LLC |
| Other Organization Name | PARK ROSE CARE CENTER |
| Practice Address |
3919 S 19th St Tacoma WA 98405-1414 |
| Mailing Address |
3326 160th Ave Se Suite 120 Bellevue WA 98008-6418 |
| Practice Telephone | 2537525677 |
| Practice Fax Number | 2537568936 |
| Mailing Telephone | 4253924066 |
| Mailing Fax Number | 4256231517 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-05-15 |
| Authorized Official Name | DOUG DEVORE (FIELD ACCOUNTANT) |
| Authorized Official Telephone | 4253924066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH1298 | WA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 4112983 | 05 | |
| WA | 4114245 | 05 |
| Other Name | Type Code |
|---|---|
| PARK ROSE CARE CENTER | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | BD TACOMA I, LLC | 3919 South 19th St, Tacoma, WA 98405 |
| Street Address |
3919 S 19TH ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821055096 | Melvin Watt | Psychologist | 3919 S 19th St, Tacoma, WA 98405-1414 | 2006-04-28 |
| 1124533021 | Richard Joseph Mann Jr. | Physical Therapy Assistant | 3919 S 19th St, Tacoma, WA 98405-1414 | 2017-12-13 |
| 1740677483 | Patrick Mollett | Physical Medicine & Rehabilitation | 3919 S 19th St, Tacoma, WA 98405-1414 | 2015-04-21 |
| 1033500715 | Marian Kranz | Physical Therapist | 3919 S 19th St, Tacoma, WA 98405-1414 | 2015-02-17 |
| 1477847242 | Sambath Tith | Physical Therapy Assistant | 3919 S 19th St, Tacoma, WA 98405-1414 | 2011-06-08 |
| 1285957613 | Advanced Lifeline Services | Respiratory Therapist, Certified | 3919 S 19th St, Tacoma, WA 98405-1414 | 2010-03-12 |
| 1154563492 | Lori Janeen Brees | Occupational Therapist | 3919 S 19th St, Tacoma, WA 98405-1414 | 2009-04-01 |
| 1952543290 | Joni Ann Taylor | Physical Therapist | 3919 S 19th St, Tacoma, WA 98405-1414 | 2009-04-01 |
| 1952580961 | Kelly Emerson | Physical Therapist | 3919 S 19th St, Tacoma, WA 98405-1414 | 2007-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| 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 |
|---|---|---|---|---|
| 1235662081 | Alexandra Vick | Skilled Nursing Facility | 18621 29th Ave E, Tacoma, WA 98445-4323 | 2017-04-08 |
| 1992942627 | Katherine J. Mikita | Skilled Nursing Facility | 5340 N Bristol St, Tacoma, WA 98407-2204 | 2009-01-16 |
| 1487671392 | Tacoma Rehab, Inc. | Skilled Nursing Facility | 3625 E B St, Tacoma, WA 98404-1524 | 2006-07-16 |
| 1033136940 | Highlands Rehab, Inc. | Skilled Nursing Facility | 5954 N 26th St, Tacoma, WA 98407-2305 | 2006-07-16 |
| 1659317196 | Manor Care of Tacoma Wa, Association | Skilled Nursing Facility | 5601 S Orchard St, Tacoma, WA 98409-1371 | 2006-06-22 |
| 1679510150 | Tacoma Care Center, Inc | Skilled Nursing Facility | 2102 S 96th St, Tacoma, WA 98444-1753 | 2006-06-01 |
| 1659326338 | Evergreen At Tacoma, L.L.C. | Skilled Nursing Facility | 6220 S Alaska St, Tacoma, WA 98408-1317 | 2006-05-23 |
| 1679551808 | Heritage Rehab, Inc. | Skilled Nursing Facility | 7411 Pacific Ave, Tacoma, WA 98408-7118 | 2006-01-06 |
| 1356324719 | Belair Rehab, Inc. | Skilled Nursing Facility | 630 S Pearl St, Tacoma, WA 98465-2111 | 2005-11-21 |
| 1225029887 | Revera (delaware) LLC | Skilled Nursing Facility | 4755 S 48th Street, Tacoma, WA 98409-1919 | 2005-11-02 |
| Find all providers in TACOMA | ||||
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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.