DR. RONALD GARY GALLUCCI (NPI# 1467725192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467725192 |
| Entity Type | Individual |
| Full Name | DR. RONALD GARY GALLUCCI |
| Credential | MD |
| Practice Address |
242 St Helens Ave Tacoma WA 98402-2514 |
| Practice Telephone | 2538204193 |
| Practice Fax Number | 9498917886 |
| Mailing Telephone | 2538204193 |
| Mailing Fax Number | 9498917886 |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | MD00011241 | WA | Nursing & Custodial Care Facilities |
| Street Address |
242 ST HELENS AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98402-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538569231 | Grand Park LLC | Assisted Living Facility | 242 St Helens Ave, Tacoma, WA 98402-2514 | 2014-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
| 1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
| 1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
| 1073024980 | Megan Elizabeth Charron Mourfield | Denturist | 725 St Helens Ave S, Tacoma, WA 98402 | 2017-10-18 |
| 1104367937 | Janelle Santiago | Counselor | Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 | 2017-03-13 |
| 1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
| 1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
| 1821416470 | Nicole Villarreal Mccormick | Acupuncturist | 711 A Ct #100, Tacoma, WA 98402 | 2014-04-01 |
| 1184055824 | Robyn Marie Callahan | Social Worker | 1102 A Street, Suite 202 B, Tacoma, WA 98402 | 2013-12-05 |
| 1679909410 | Kristin Sweet Fischer | Counselor | 708 Market St Unit 411, Tacoma, WA 98402 | 2013-09-25 |
| Find all providers in zip 98402 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881210243 | Spring Ridge Retirement, LLC | Alzheimer Center (Dementia Center) | 6856 E Portland Ave, Tacoma, WA 98404-3421 | 2020-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131237 | Pacifica Kenmore LLC | Alzheimer Center (Dementia Center) | 7221 Ne 182nd Street, Kenmore, WA 98028 | 2020-10-13 |
| 1184240541 | Highland Court Operating Company, LLC | Alzheimer Center (Dementia Center) | 1704 Melody Ln, Port Angeles, WA 98362-4972 | 2020-06-22 |
| 1861018228 | Olympia Special Care, LLC | Alzheimer Center (Dementia Center) | 626 Lilly Rd Ne, Olympia, WA 98506-5104 | 2020-06-22 |
| 1457995821 | Kirkland Memory Care, LLC | Alzheimer Center (Dementia Center) | 12217 Ne 128th St, Kirkland, WA 98034-7301 | 2019-10-29 |
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1497294383 | Crh Chandler House LLC | Alzheimer Center (Dementia Center) | 701 N 39th Ave, Yakima, WA 98902-6343 | 2017-02-13 |
| 1528372646 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 3710 Kern Way, Yakima, WA 98902-4981 | 2010-07-30 |
| 1427211499 | Highgate Senior Living | Alzheimer Center (Dementia Center) | 155 E Kellogg Rd, Bellingham, WA 98226-8130 | 2008-07-09 |
| 1295997799 | Sunrise of Lynnwood | Alzheimer Center (Dementia Center) | 18625 60th Ave W, Lynnwood, WA 98037-4300 | 2008-06-26 |
| 1073774436 | Sunrise Senior Living of Edmonds | Alzheimer Center (Dementia Center) | 750 Edmonds Way, Edmonds, WA 98020-5126 | 2008-06-18 |
| Find all providers with the same taxonomy | ||||
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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.