FMG EAST LAURIDSEN BOULEVARD WASHINGTON LLC (NPI# 1629476916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629476916 |
Entity Type | Organization |
Organization Name | FMG EAST LAURIDSEN BOULEVARD WASHINGTON LLC |
Other Organization Name | CRESTWOOD HEALTH & REHABILITATION CENTER |
Practice Address |
1116 E Lauridsen Blvd Port Angeles WA 98362-6640 |
Mailing Address |
5001 West Lemon Street C/o Focus Management Group Tampa FL 33609-1103 |
Practice Telephone | 3604529206 |
Practice Fax Number | 3604572935 |
Mailing Telephone | (813) 281-0062 |
Mailing Fax Number | 8132810063 |
Enumeration Date | 2014-12-18 |
Last Update Date | 2017-11-07 |
Authorized Official Name | DAVID C. KEATING (AGENT) |
Authorized Official Telephone | 4149088058 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Crestwood Health & Rehabilitation Center | Doing Business As Name - Organization |
Street Address |
1116 E LAURIDSEN BLVD |
City | PORT ANGELES |
State | WA |
Zip Code | 98362-6640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417029885 | Crestwood Convalescent - Port Angeles LLC | Skilled Nursing Facility | 1116 E Lauridsen Blvd, Port Angeles, WA 98362-6640 | 2006-11-14 |
1396253274 | Stacey Steele | Occupational Therapy Assistant | 1116 E Lauridsen Blvd, Port Angeles, WA 98362-6640 | 2018-01-13 |
1871006601 | Crestwood Convalescent - Port Angeles LLC | Skilled Nursing Facility | 1116 E Lauridsen Blvd, Port Angeles, WA 98362-6640 | 2017-11-15 |
1437669413 | Justin Ford Walker | Speech-Language Pathologist | 1116 E Lauridsen Blvd, Port Angeles, WA 98362-6640 | 2017-10-04 |
1659808921 | Matthew Patrick Malloy | Physical Therapy Assistant | 1116 E Lauridsen Blvd, Port Angeles, WA 98362-6640 | 2017-05-17 |
1659721520 | Lindsey Marsaw | Physical Therapy Assistant | 1116 E Lauridsen Blvd, Port Angeles, WA 98362-6640 | 2016-06-21 |
1487069001 | Hannah Louise Carroll | Physical Therapy Assistant | 1116 E Lauridsen Blvd, Port Angeles, WA 98362-6640 | 2014-06-23 |
1851712129 | Asa Addison Harris | Physical Therapy Assistant | 1116 E Lauridsen Blvd, Port Angeles, WA 98362-6640 | 2014-01-03 |
1801217161 | Patrick Dewitt | Occupational Therapy Assistant | 1116 E Lauridsen Blvd, Port Angeles, WA 98362-6640 | 2014-01-03 |
1982025243 | Larry Hurd | Occupational Therapy Assistant | 1116 E Lauridsen Blvd, Port Angeles, WA 98362-6640 | 2014-01-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831735778 | Jayme Marie Williams | Technician | 518 S. Liberty St., Port Angeles, WA 98362 | 2019-11-26 |
1780229559 | Barbara Amsler Nutrition, Pllc | Dietitian, Registered | 320 E. 5th St., Port Angeles, WA 98362 | 2019-11-15 |
1902315005 | Barbara Amsler | Nutritionist | 116 S. Ennis St, Port Angeles, WA 98362 | 2017-09-21 |
1134659667 | Janet Li Hanson | Registered Nurse | 532 South Alder Lane, Port Angeles, WA 98362 | 2017-06-18 |
1790220192 | Monica Kay Henry | Massage Therapist | 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 | 2016-12-21 |
1124491725 | Gabrielle Carter | Naturopath | 1126 Columbia St, Port Angeles, WA 98362 | 2015-11-04 |
1912301185 | Danya Lyn Davis | Massage Therapist | 106 W. Lauridsen Blvd., Port Angeles, WA 98362 | 2014-10-17 |
1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
1780001743 | Dr Adam Cramer Pllc | Clinic/Center | 104 W. 3rd St, Port Angeles, WA 98362 | 2014-03-27 |
1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
Find all providers in zip 98362 |
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 |
---|---|---|---|---|
1417029885 | Crestwood Convalescent - Port Angeles LLC | Skilled Nursing Facility | 1116 E Lauridsen Blvd, Port Angeles, WA 98362-6640 | 2006-11-14 |
1871006601 | Crestwood Convalescent - Port Angeles LLC | Skilled Nursing Facility | 1116 E Lauridsen Blvd, Port Angeles, WA 98362-6640 | 2017-11-15 |
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 |
City | PORT ANGELES |
Zip Code | 98362 |
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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.