PUGET SOUND HEALTHCARE - OLYMPIA LLC (NPI# 1629142294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629142294 |
| Entity Type | Organization |
| Organization Name | PUGET SOUND HEALTHCARE - OLYMPIA LLC |
| Other Organization Name | PUGET SOUND HEALTHCARE CENTER |
| Practice Address |
4001 Capitol Mall Dr Sw Olympia WA 98502-8657 |
| Mailing Address |
4001 Capitol Mall Drive Sw Olympia WA 98502-8657 |
| Practice Telephone | 3607549792 |
| Practice Fax Number | 3607542455 |
| Mailing Telephone | 3607549792 |
| Mailing Fax Number | 3607542455 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2017-08-18 |
| Authorized Official Name | MR. DOV E. JACOBS (MANAGER) |
| Authorized Official Telephone | 3236784426 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 4110102 | 05 |
| Other Name | Type Code |
|---|---|
| Puget Sound Healthcare Center | Doing Business As Name - Organization |
| Street Address |
4001 CAPITOL MALL DR SW |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-8657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962795096 | Caitlin Kim Dean | Specialist | 4001 Capitol Mall Dr Sw, Olympia, WA 98502-8657 | 2011-05-23 |
| 1588824528 | April Giraud | Occupational Therapist | 4001 Capitol Mall Dr Sw, Olympia, WA 98502-8657 | 2008-06-12 |
| 1982804084 | Keith Evans | Physical Therapy Assistant | 4001 Capitol Mall Dr Sw, Olympia, WA 98502-8657 | 2007-07-18 |
| 1376741470 | Cheryl Klikas | Occupational Therapy Assistant | 4001 Capitol Mall Dr Sw, Olympia, WA 98502-8657 | 2007-07-10 |
| 1407054372 | Susan Marie Dorsey | Occupational Therapist | 4001 Capitol Mall Dr Sw, Olympia, WA 98502-8657 | 2007-07-03 |
| 1114123551 | Julie Christine Colaw | Physical Therapist | 4001 Capitol Mall Dr Sw, Olympia, WA 98502-8657 | 2007-06-22 |
| 1356547731 | Daniel Terry Frazee | Physical Therapist | 4001 Capitol Mall Dr Sw, Olympia, WA 98502-8657 | 2007-06-22 |
| 1871799429 | Fred Hoskins | Occupational Therapist | 4001 Capitol Mall Dr Sw, Olympia, WA 98502-8657 | 2007-06-21 |
| 1063617884 | Carmen Bemiller | Speech-Language Pathologist | 4001 Capitol Mall Dr Sw, Olympia, WA 98502-8657 | 2007-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| Find all providers in zip 98502 | ||||
| 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 |
|---|---|---|---|---|
| 1093813214 | Bd Olympia I, LLC | Skilled Nursing Facility | 1811 22nd Ave Se, Olympia, WA 98501-3023 | 2006-09-20 |
| 1992704126 | Providence Health & Services Washington | Skilled Nursing Facility | 3333 Ensign Rd Ne, Olympia, WA 98506-5012 | 2005-07-19 |
| 1215441407 | Puget Sound Healthcare-olympia, LLC | Skilled Nursing Facility | 4001 Capital Mall Dr Sw, Olympia, WA 98502 | 2017-11-27 |
| 1740671734 | Woodard Creek Healthcare, Inc. | Skilled Nursing Facility | 430 Lilly Rd Ne, Olympia, WA 98506-5132 | 2015-02-11 |
| 1215335591 | Fmg Capitol Mall Drive Southwest Washington LLC | Skilled Nursing Facility | 4001 Capital Mall Dr Sw, Olympia, WA 98502-8657 | 2014-12-18 |
| 1841363967 | Extendicare Homes, Inc. | Skilled Nursing Facility | 430 Lilly Rd Ne, Olympia, WA 98506-5132 | 2006-11-16 |
| 1134177165 | Columbia Capital Medical Center, Lp | Skilled Nursing Facility | 3900 Capitol Mall Dr Sw, Olympia, WA 98502-8654 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639717 | Atsugi LLC | Skilled Nursing Facility | 23815 Se 28th St, Sammamish, WA 98075 | 2019-10-02 |
| 1457840795 | Mission Healthcare At Renton, LLC | Skilled Nursing Facility | 17420 106th Pl Se, Renton, WA 98055-5438 | 2018-05-02 |
| 1104330349 | North Auburn Health, LLC | Skilled Nursing Facility | 2830 I Street Ne, Auburn, WA 98002 | 2017-11-27 |
| 1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1215455365 | Thirty Three Oaks, LLC | Skilled Nursing Facility | 400 E. 33rd St., Vancouver, WA 98663 | 2017-09-08 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1265950422 | University Place Rehabilitation Center, LLC | Skilled Nursing Facility | 5520 Bridgeport Way W., University Place, WA 98467 | 2017-09-07 |
| 1235662081 | Alexandra Vick | Skilled Nursing Facility | 18621 29th Ave E, Tacoma, WA 98445-4323 | 2017-04-08 |
| 1255883831 | Heron's Key | Skilled Nursing Facility | 4340 Borgen Blvd, Gig Harbor, WA 98332-7000 | 2016-10-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PUGET SOUND HEALTHCARE - OLYMPIA 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.