Grand Park Llc

LBN: Grand Park Llc
Grand Park Llc is an health care organization with primary practice located at 242 St Helens Ave , Tacoma WA 98402-2514. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Grand Park Llc can be contacted via phone (253) 473-2842, or through Hansen, Donald via phone (253) 473-2842.

Contact Information

Primary practice address
242 St Helens Ave Tacoma WA 98402-2514
Phone: (253) 473-2842
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Donald
Phone: (253) 473-2842

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 1251 Washington

Profile Details

NPI number 1538569231
LBN Legal business name Grand Park Llc
DBA Doing business as
Authorized official Hansen, Donald
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2014
Last updated Aug 29th, 2014 - about 12 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 1538569231 NPPES
Washington MEDICAID 921736

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