Ida Culver House Broadview Health Care Center

LBN: Broadview Development Associates Ii
Ida Culver House Broadview Health Care Center is an health care organization with primary practice located at 12505 Greenwood Ave N , Seattle WA 98133. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Broadview Development Associates Ii can be contacted via phone (206) 368-3797, or through Travers, Tara L via phone (206) 368-3797.

Contact Information

Primary practice address
12505 Greenwood Ave N Seattle WA 98133
Fax: (206) 368-3756
Website:
Authorized official contact:
Name: Travers, Tara L NHA

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 945 Washington
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1065 Washington

Profile Details

NPI number 1568429900
LBN Legal business name Broadview Development Associates Ii
DBA Doing business as Ida Culver House Broadview Health Care Center
Authorized official Travers, Tara L NHA
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2006
Last updated May 28th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568429900 NPPES
Other CU2614 REGENCE BLUE SHIELD
MEDICAID 4110656 REGENCE BLUE SHIELD

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