TACOMA LUTHERAN HOME AND RETIREMENT COMMUNITY (NPI# 1891817342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891817342 |
| Entity Type | Organization |
| Organization Name | TACOMA LUTHERAN HOME AND RETIREMENT COMMUNITY |
| Practice Address |
1301 N Highlands Pkwy Tacoma WA 98406-2116 |
| Practice Telephone | 2537527112 |
| Practice Fax Number | 2537527265 |
| Mailing Telephone | 2537527112 |
| Mailing Fax Number | 2537527265 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LYNETTE LYNN LADENBURG (CFO) |
| Authorized Official Telephone | 2537567553 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 310400000X | Assisted Living Facility | BH1187 | WA | Nursing & Custodial Care Facilities |
| X | 314000000X | Skilled Nursing Facility | NH601 | WA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 4160107 | 05 |
| Street Address |
1301 N HIGHLANDS PKWY |
| City | TACOMA |
| State | WA |
| Zip Code | 98406-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164988937 | Henok Girma | Occupational Therapy Assistant | 1301 N Highlands Pkwy, Tacoma, WA 98406-2116 | 2019-02-15 |
| 1114490786 | Jaclyn Rose Reese | Occupational Therapist | 1301 N Highlands Pkwy, Tacoma, WA 98406-2116 | 2019-01-07 |
| 1336630821 | Laura Ndem Poci | Nurse Practitioner | 1301 N Highlands Pkwy, Tacoma, WA 98406-2116 | 2018-05-21 |
| 1902307929 | Laura Suchocki | Physical Therapist | 1301 N Highlands Pkwy, Tacoma, WA 98406-2116 | 2018-02-25 |
| 1932609153 | Taylor K Culver | Physical Therapy Assistant | 1301 N Highlands Pkwy, Tacoma, WA 98406-2116 | 2018-02-14 |
| 1679086797 | Lindsey Baker | Physical Therapist | 1301 N Highlands Pkwy, Tacoma, WA 98406-2116 | 2017-11-10 |
| 1104355403 | Christopher Atalig Castro | Occupational Therapy Assistant | 1301 N Highlands Pkwy, Tacoma, WA 98406-2116 | 2017-06-08 |
| 1295272235 | Amandeep Sandhu | Physical Therapy Assistant | 1301 N Highlands Pkwy, Tacoma, WA 98406-2116 | 2017-01-29 |
| 1164975850 | Molly Daugherty | Physical Therapy Assistant | 1301 N Highlands Pkwy, Tacoma, WA 98406-2116 | 2016-07-28 |
| 1619381563 | Stephanie Macduff | Physical Therapy Assistant | 1301 N Highlands Pkwy, Tacoma, WA 98406-2116 | 2014-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972068070 | Misty Molina, Arnp | Midwife | 6002 Westgateblvd., Ste 120, Tacoma, WA 98406 | 2019-02-04 |
| 1538641238 | Julianne Marie Silla | Behavior Technician | 4414 6th Ave., Tacoma, WA 98406 | 2018-08-30 |
| 1659851194 | Holli Fadem | Behavioral Analyst | 4414 6th Ave, Tacoma, WA 98406 | 2018-08-15 |
| 1275013682 | Josephine Lynn Daniels | Counselor | 5929 Westgate Blvd., Suite A, Tacoma, WA 98406 | 2018-08-15 |
| 1821520388 | Cayla Passmore | Home Health Aide | 7320 6th Ave, Apt 2, Tacoma, WA 98406 | 2017-04-03 |
| 1134587355 | Chelsey Babcock | Massage Therapist | 1919 N Pearl St., #a4, Tacoma, WA 98406 | 2016-02-02 |
| 1366888992 | Philip Jones / Thomas Henry, D.o.s., P.s. | Dentist | 2102 N. Pearl Street, Suite 202, Tacoma, WA 98406 | 2013-05-22 |
| 1548512866 | Suzanne R Webster | Occupational Therapy Assistant | 2301 N Mildred, Tacoma, WA 98406 | 2012-10-10 |
| 1457609943 | Erika R. Sagle | Specialist | 1807 N. Stevens St., Tacoma, WA 98406 | 2012-08-15 |
| 1457616104 | Catherine M Jones | Pharmacy Technician | 3601 6th Ave S., Tacoma, WA 98406 | 2012-07-09 |
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| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361671 | Mcp Village Wa Opco LLC | Assisted Living Facility | 4707 S Orchard St, Tacoma, WA 98466-6600 | 2020-06-22 |
| 1396130167 | Crown Assisted Living Development | Assisted Living Facility | 1609 S Union Ave, Tacoma, WA 98405-1937 | 2015-03-30 |
| 1528468576 | Cacsade Park Gardens LLC | Assisted Living Facility | 4347 S Union Ave, Tacoma, WA 98409-4526 | 2014-08-27 |
| 1467579250 | Kings Manor Asst Manor LLC | Assisted Living Facility | 8609 Portland Ave E, Tacoma, WA 98445-4187 | 2007-03-25 |
| 1659404291 | Peoples Retirement Community, LLP | Assisted Living Facility | 1800 E 67th St, Tacoma, WA 98404-4245 | 2007-03-13 |
| 1659437010 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 3615 S 23rd St, Tacoma, WA 98405-1331 | 2006-12-29 |
| 1720562119 | Christ The King Community Outreach | Assisted Living Facility | 8609 Portland Ave E, Tacoma, WA 98445-4187 | 2018-09-20 |
| 1538569231 | Grand Park LLC | Assisted Living Facility | 242 St Helens Ave, Tacoma, WA 98402-2514 | 2014-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537485 | All Saints Adult Family Home, LLC | Assisted Living Facility | 1413 12th St Ne, Auburn, WA 98002-3533 | 2020-10-27 |
| 1245844497 | Bremerton Mc Operations, LLC | Assisted Living Facility | 3510 9th St, Bremerton, WA 98312-3544 | 2020-09-04 |
| 1104434547 | Sunrise Senior Living Management Inc | Assisted Living Facility | 23599 Se Issaquah Fall City Rd, Issaquah, WA 98029-9265 | 2020-07-22 |
| 1174131999 | Longhouse Bothell LLC | Assisted Living Facility | 16605 122nd Pl Ne, Bothell, WA 98011-7114 | 2020-07-17 |
| 1447878913 | Northwest Hc Columbia Heights Wa Operator Nt-hci LLC | Assisted Living Facility | 1550 Cherry St, Wenatchee, WA 98801-6253 | 2020-07-10 |
| 1881212355 | Northwest Hc Seaport Landing Wa Operator Nt-hci LLC | Assisted Living Facility | 1201 Hancock St, Port Townsend, WA 98368-8513 | 2020-07-10 |
| 1568089472 | Living Court Ventures, L.L.C. | Assisted Living Facility | 2229 Jensen St, Enumclaw, WA 98022-3639 | 2020-06-26 |
| 1154948065 | Sullivan Cottages, L.L.C. | Assisted Living Facility | 411 S Adams Rd, Spokane Valley, WA 99216-2287 | 2020-06-26 |
| 1104443001 | Gig Harbor Ventures, L.L.C. | Assisted Living Facility | 3025 14th Ave Nw, Gig Harbor, WA 98335-1635 | 2020-06-26 |
| 1609493519 | Wenatchee Alf Ventures, L.L.C. | Assisted Living Facility | 601 Okanogan Ave, Wenatchee, WA 98801-6414 | 2020-06-26 |
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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.