Orchard Park Health And Rehabilitation Center
LBN: Revera (Delaware) Llc
Orchard Park Health And Rehabilitation Center is an health care organization with primary practice located at 4755 S 48Th Street , Tacoma WA 98409-1919. 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.
Revera (Delaware) Llc can be contacted via phone (253) 475-4611, or through Scillia, Carole M via phone (203) 608-6100.
Contact Information
Primary practice address
4755 S 48Th Street
Tacoma WA 98409-1919
Phone: (253) 475-4611
Fax: (253) 471-9591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | NH1259 | Washington |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 1259 | Washington |
Profile Details
| NPI number | 1225029887 |
|---|---|
| LBN Legal business name | Revera (Delaware) Llc |
| DBA Doing business as | Orchard Park Health And Rehabilitation Center |
| Authorized official | Scillia, Carole M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | May 20th, 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 | 1225029887 | NPPES |
| Washington | MEDICAID | 4112595 |
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