HEARTWOOD EXTENDED HEALTH CARE LLC (NPI# 1801896436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801896436 |
| Entity Type | Organization |
| Organization Name | HEARTWOOD EXTENDED HEALTH CARE LLC |
| Practice Address |
1649 E 72nd St Tacoma WA 98404-5402 |
| Practice Telephone | 2534729027 |
| Practice Fax Number | 2534758206 |
| Mailing Telephone | 2534729027 |
| Mailing Fax Number | 2534758206 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. NANCY K. ROWE (ADMINISTRATOR) |
| Authorized Official Telephone | 2534729027 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1308 | WA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 4113080 | 05 |
| Street Address |
1649 E 72ND ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98404-5402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372045 | Michelle Neu | Speech-Language Pathologist | 1649 E 72nd St, Tacoma, WA 98404-5402 | 2020-10-07 |
| 1215576186 | Heartwood Operator LLC | Skilled Nursing Facility | 1649 E 72nd St, Tacoma, WA 98404-5402 | 2019-12-24 |
| 1598222978 | Nicole Chang | Occupational Therapist | 1649 E 72nd St, Tacoma, WA 98404-5402 | 2019-02-21 |
| 1710468772 | Yvette Phan | Occupational Therapist | 1649 E 72nd St, Tacoma, WA 98404-5402 | 2018-08-27 |
| 1992120398 | Deirdre Morgan | Speech-Language Pathologist | 1649 E 72nd St, Tacoma, WA 98404-5402 | 2014-02-22 |
| 1093951899 | Timothy Loell Baker | Physical Therapy Assistant | 1649 E 72nd St, Tacoma, WA 98404 | 2008-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386169829 | Brianna Lee Brown | Nurse's Aide | 1020 South 76th Street, Tacoma, WA 98404 | 2017-08-05 |
| 1770981045 | Tra My Thi Nguyen | Pharmacist | 4614 E N St, Tacoma, WA 98404 | 2014-12-18 |
| 1720419161 | Amber Gilderoy | Massage Therapist | 1101 E 56th St, Tacoma, WA 98404 | 2013-12-11 |
| 1295083756 | Stacy Marie Klontz | Physical Therapy Assistant | 1649 East 72nd St., Tacoma, WA 98404 | 2012-08-15 |
| 1215239892 | Kimberly Ida Sterling | Dental Hygienist | 247 E. 68th St., Tacoma, WA 98404 | 2010-12-02 |
| 1982923926 | Emily C Parry | Occupational Therapy Assistant | 1649 East 72nd Street, Tacoma, WA 98404 | 2010-05-28 |
| 1427386465 | Carole Lynne Hopkins | Physical Therapist | 1649 East 72nd St, Tacoma, WA 98404 | 2009-12-03 |
| 1417016056 | Jennifer Anne Decoteau | Social Worker | 2209 East 32nd St, Tacoma, WA 98404 | 2006-12-08 |
| 1518032374 | Agnes Barbara Kocsis | Psychiatry & Neurology | 2209 E.32nd Str, Tacoma, WA 98404 | 2006-11-21 |
| 1912924366 | Marthe Butzen | Physician Assistant | 1708 E. 44th Street, Tacoma, WA 98404 | 2006-07-15 |
| Find all providers in zip 98404 | ||||
| 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.