AVALON CARE CENTER - FEDERAL WAY, LLC (NPI# 1902890262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902890262 |
| Entity Type | Organization |
| Organization Name | AVALON CARE CENTER - FEDERAL WAY, LLC |
| Practice Address |
135 S 336th St Federal Way WA 98003-6350 |
| Mailing Address |
206 N 2100 W Salt Lake City UT 84116-2927 |
| Practice Telephone | 2538357453 |
| Practice Fax Number | 2538353903 |
| Mailing Telephone | 8013250153 |
| Mailing Fax Number | 8015969001 |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2013-01-30 |
| Authorized Official Name | MS. FAYE LINCOLN (VP, POLICY/GOVERNMENT RELATIONS) |
| Authorized Official Telephone | 8013250153 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1355 | WA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 4113551 | 05 |
| Street Address |
135 S 336TH ST |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-6350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740707967 | Amanda Sue Macklin | Nurse Practitioner | 135 S 336th St, Federal Way, WA 98003-6350 | 2017-08-28 |
| 1285099135 | Alexandra Oleszko | Speech-Language Pathologist | 135 S 336th St, Federal Way, WA 98003-6350 | 2015-12-19 |
| 1619228301 | Kristen Elise Shi Su | Nurse Practitioner | 135 S 336th St, Federal Way, WA 98003-6350 | 2012-09-21 |
| 1982932620 | Brighton Rehabilitation LLC | Clinic/Center | 135 S 336th St, Federal Way, WA 98003-6350 | 2009-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| 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 |
|---|---|---|---|---|
| 1659583169 | Supplemental Health Care | Skilled Nursing Facility | 1010 336th St, Ste. 120, Federal Way, WA 98003 | 2007-05-04 |
| 1720011711 | Federal Way Medical Investors, LLC | Skilled Nursing Facility | 491 S 338th St, Federal Way, WA 98003-6290 | 2006-07-10 |
| 1841246659 | Consolidated Resources Health Care Fund I, L.p. | Skilled Nursing Facility | 1045 S 308th St, Federal Way, WA 98003-4706 | 2006-05-25 |
| 1881648061 | Consolidated Resources Health Care Fund I, Lp | Skilled Nursing Facility | 32300 1st Ave S, Federal Way, WA 98003-5762 | 2006-05-20 |
| 1124306725 | Shc Services Inc. | Skilled Nursing Facility | 1010 S 336th St Ste 210, Federal Way, WA 98003-7354 | 2011-07-30 |
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|---|---|---|---|---|
| 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 | FEDERAL WAY |
| Zip Code | 98003 |
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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.