EVERGREEN WASHINGTON HEALTHCARE SEATTLE, L.L.C. (NPI# 1851386957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851386957 |
| Entity Type | Organization |
| Organization Name | EVERGREEN WASHINGTON HEALTHCARE SEATTLE, L.L.C. |
| Other Organization Name | SEATTLE MEDICAL POST ACUTE CARE |
| Practice Address |
555 16th Ave Seattle WA 98122-8122 |
| Mailing Address |
4601 Ne 77th Ave Suite 300 Vancouver WA 98662-6736 |
| Practice Telephone | 2063248200 |
| Practice Fax Number | 2067098457 |
| Mailing Telephone | 3608926628 |
| Mailing Fax Number | 3608825793 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2017-01-30 |
| Authorized Official Name | BRENT WEIL (CEO AND MANAGER) |
| Authorized Official Telephone | 3608926628 |
| Is Organization Subpart | Y |
| Parent Organization Name | EMPRES WASHINGTON HEALTHCARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH1228 | WA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 4112280 | 05 |
| Other Name | Type Code |
|---|---|
| Seattle Medical Post Acute Care | Doing Business As Name - Organization |
| Street Address |
555 16TH AVE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-8122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811532948 | Hannah Grout | Occupational Therapy Assistant | 555 16th Ave, Seattle, WA 98122-5618 | 2019-11-13 |
| 1780114843 | Paige Grediagin | Physical Therapy Assistant | 555 16th Ave, Seattle, WA 98122-5618 | 2017-06-12 |
| 1558702068 | Qing Zhang | Physical Therapist | 555 16th Ave, Seattle, WA 98122-5618 | 2013-07-12 |
| 1568706687 | Dua Sharma | Speech-Language Pathologist | 555 16th Ave, Seattle, WA 98122-5618 | 2012-11-15 |
| 1285998427 | Chris C Webb | Physical Therapy Assistant | 555 16th Ave, Seattle, WA 98122-5618 | 2012-07-03 |
| 1801160411 | Cheri Lea Horkman | Speech-Language Pathologist | 555 16th Ave, Seattle, WA 98122-5618 | 2012-02-28 |
| 1164703906 | Natalia Barrero Boutilier | Speech-Language Pathologist | 555 16th Ave, Seattle, WA 98122-5618 | 2011-09-07 |
| 1609102607 | Anna Caitlin Kaser | Speech-Language Pathologist | 555 16th Ave, Seattle, WA 98122-5618 | 2009-10-26 |
| 1639309800 | Phillip Charles Weir | Speech-Language Pathologist | 555 16th Ave, Seattle, WA 98122-5618 | 2009-07-21 |
| 1346475365 | Colleen Marie Quinn | Speech-Language Pathologist | 555 16th Ave, Seattle, WA 98122-5618 | 2009-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
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| 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 |
|---|---|---|---|---|
| 1336431618 | Htl Interprises, LLC | Skilled Nursing Facility | 9619 15th Ave Nw, Seattle, WA 98117-2313 | 2011-05-05 |
| 1417111733 | Marybeth Sabine | Skilled Nursing Facility | 3634 Linden Ave N, Seattle, WA 98103-8705 | 2008-07-16 |
| 1710907233 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 16357 Aurora Ave N, Seattle, WA 98133-5651 | 2006-07-20 |
| 1386691467 | Sea Mar Skilled Nursing Facility | Skilled Nursing Facility | 1040 S Henderson St, Seattle, WA 98108-4720 | 2006-05-27 |
| 1710933999 | Sunbridge Healthcare LLC | Skilled Nursing Facility | 820 Nw 95th St, Seattle, WA 98117-2207 | 2006-05-26 |
| 1386699932 | West Seattle Operations, LLC | Skilled Nursing Facility | 4700 Sw Admiral Way, Seattle, WA 98116-2316 | 2006-05-23 |
| 1932157641 | Evergreen Washington Healthcare Greenwood, L.L.C. | Skilled Nursing Facility | 13333 Greenwood Ave N, Seattle, WA 98133-7312 | 2006-05-05 |
| 1619934999 | The Kenney | Skilled Nursing Facility | 7125 Fauntleroy Way Sw, Seattle, WA 98136-2008 | 2006-04-28 |
| 1205811585 | Northwest Care-west Seattle, Inc. | Skilled Nursing Facility | 1703 California Ave Sw, Seattle, WA 98116-1902 | 2005-12-09 |
| 1528059094 | Bayview Manor Homes | Skilled Nursing Facility | 11 W Aloha St, Seattle, WA 98119-3743 | 2005-11-02 |
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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.