<Unavail>

LBN: Eastside Retirement Association
<Unavail> is an health care organization with primary practice located at 10901 176Th Circle Ne , Redmond WA 98052-7218. 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. Eastside Retirement Association can be contacted via phone (425) 556-8100, or through Hardy, Lisa A. via phone (425) 556-8100.

Contact Information

Primary practice address
10901 176Th Circle Ne Redmond WA 98052-7218
Phone: (425) 556-8100
Fax: (425) 556-8104
Website:
Map and Directions
Authorized official contact:
Name: Hardy, Lisa A.
Phone: (425) 556-8100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1113 Washington
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1861597205
LBN Legal business name Eastside Retirement Association
DBA Doing business as <Unavail>
Authorized official Hardy, Lisa A.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Jan 19th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861597205 NPPES
Washington MEDICAID 41-111-34

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