Wa3 Op Renton LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WA3 OP RENTON LLC

Practice address

80 SW 2ND St
Renton, WA 98057-5937

Phone

(425) 226-4610

NPI assigned

Feb 9, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel Goldner

Title

Authorized Official

Phone

(516) 727-1634

Specialties & licenses 1

Addresses

Other names 1

• Arcadia Healthcare Renton Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1003408212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SW 2ND ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SW 2ND ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575937",
            "telephone_number": "425-226-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WA3 OP RENTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "GOLDNER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "516-727-1634"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arcadia Healthcare Renton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vpa PC
• Vpa PC
• Huong Thi Vu
• Lyn Thuy Vu
• Kathy Nga Vuu, OD
• Wa3 Op Talbot LLC
• Elizabeth Ashley Waddell, PT
• Sarah Waddington, L.M.P.
• Victoria Hope Waddleton, LICSW
• Eric Thomas Wagar, D.M.D.

• Skilled Nursing Facility in Renton, WA
• Providers in Renton, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.