NPIMap

Organization Active NPI

Assisted Living Concepts Inc

  • Assisted Living Facility
  • Port Orchard, WA
National Provider Identifier
1043336688
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
BH1777 Issued in WA
Legal business name
ASSISTED LIVING CONCEPTS INC
Practice address
155 West Lippert
Port Orchard, WA 98366
Phone
(360) 876-0980
Fax
(360) 876-6701
NPI assigned
Mar 22, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Walter A Levonowich
Title
Vice President and Controller
Phone
(414) 908-8800

Corporate family (same tax ID) 13

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Assisted Living Concepts Inc (213 organizations share this tax ID)

Locations

111 W Michigan St
Fl 9
Milwaukee, WI 53203

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X BH1777 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

155 West Lippert
Port Orchard, WA 98366

Mailing address

111 W Michigan Street
9TH Floor
Milwaukee, WI 53203
Phone (414) 908-8800

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
992903MedicaidWA

Other names 1

NPPES NPI Registry
  • Sydney House Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043336688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W MICHIGAN STREET",
            "address_2": "9TH FLOOR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53203",
            "telephone_number": "414-908-8800",
            "fax_number": "414-908-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WEST LIPPERT",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "98366",
            "telephone_number": "360-876-0980",
            "fax_number": "360-876-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED LIVING CONCEPTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVONOWICH",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT AND CONTROLLER",
        "authorized_official_telephone_number": "414-908-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "BH1777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "992903",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sydney House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.