Park Rose Care Center
LBN: Bd Tacoma I, Llc
Park Rose Care Center is an health care organization with primary practice located at 3919 S 19Th St , Tacoma WA 98405-1414. 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.
Bd Tacoma I, Llc can be contacted via phone (253) 752-5677, or through Devore, Doug via phone (425) 392-4066.
Contact Information
Primary practice address
3919 S 19Th St
Tacoma WA 98405-1414
Phone: (253) 752-5677
Fax: (253) 756-8936
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | NH1298 | Washington |
Profile Details
| NPI number | 1316045537 |
|---|---|
| LBN Legal business name | Bd Tacoma I, Llc |
| DBA Doing business as | Park Rose Care Center |
| Authorized official | Devore, Doug |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | May 15th, 2015 - about 11 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 | 1316045537 | NPPES |
| Washington | MEDICAID | 4112983 | |
| Washington | MEDICAID | 4114245 |
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