Richmond Beach Rehab Llc

LBN: Richmond Beach Rehab Llc
Richmond Beach Rehab Llc is an health care organization with primary practice located at 19235 15Th Ave Nw , Shoreline WA 98177-2725. 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. Richmond Beach Rehab Llc can be contacted via phone (206) 546-2666, or through Odermott, Ronald A via phone (503) 570-3405.

Contact Information

Primary practice address
19235 15Th Ave Nw Shoreline WA 98177-2725
Fax: (206) 542-1164
Website:
Authorized official contact:
Name: Odermott, Ronald A

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X Washington

Profile Details

NPI number 1316932114
LBN Legal business name Richmond Beach Rehab Llc
DBA Doing business as
Authorized official Odermott, Ronald A
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2005
Last updated Jun 19th, 2017 - about 7 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 1316932114 NPPES
Washington MEDICAID 4113460

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