Kitsap Health And Rehabilitation Center
LBN: Evergreen Kitsap, L.L.C.
Kitsap Health And Rehabilitation Center is an health care organization with primary practice located at 3517 11Th St , Bremerton WA 98312-2633. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Evergreen Kitsap, L.L.C. can be contacted via phone (360) 377-5537, or through Patterson, Dale L. via phone (360) 892-6628.
Contact Information
Primary practice address
3517 11Th St
Bremerton WA 98312-2633
Phone: (360) 377-5537
Fax: (360) 405-0537
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 1367 | Washington |
Profile Details
| NPI number | 1770578791 |
|---|---|
| LBN Legal business name | Evergreen Kitsap, L.L.C. |
| DBA Doing business as | Kitsap Health And Rehabilitation Center |
| Authorized official | Patterson, Dale L. |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Jun 3rd, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770578791 | NPPES |
| Washington | Other | 1367 | STATE NURSING HOME NUMBER |
| Washington | MEDICAID | 4111407 | STATE NURSING HOME NUMBER |
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