STATE OF WASHINGTON, WASHINGTON VETERANS HOMES
Assisted Living Facility
Port Orchard, Washington
Provider NPI: 1538159702
Organization Information:Organization Name: STATE OF WASHINGTON, WASHINGTON VETERANS HOMES
Practice Location:
1141 BEACH DR E PORT ORCHARD, WA 98366 US
Tel: 360-895-4700 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1141 BEACH DR E PORT ORCHARD, WA 98366 US
Tel: 360-895-4700 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | WA | |
N | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | WA | N/A |
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | WA | N/A |
N | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | WA | |
N | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | WA | NOT APPLICABLE |
N | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | WA | |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7102411 | WA | 05 | |
4000006 | WA | 05 | |
MEDICARE A | 50-5517 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin