Organization Active NPI

Seattle University

Doing business as Skilled Nursing Facility, Managed by Mirabella

  • Skilled Nursing Facility
  • Seattle, WA
National Provider Identifier
1043632672
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SEATTLE UNIVERSITY
Doing business as
Skilled Nursing Facility, Managed by Mirabella
Practice address
116 Fairview Ave N
Seattle, WA 98109-5360
Phone
(260) 254-1452
NPI assigned
Jan 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Constance Kanter
Title
Cfo
Phone
(206) 296-6150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

116 Fairview Ave N
Seattle, WA 98109-5360

Mailing address

901 12TH Ave
Seattle, WA 98122-4411
Phone (206) 296-6150

Other names 1

  • Skilled Nursing Facility, Managed by Mirabella Doing business as

National Provider Directory

National Provider Directory

Locations

901 12th Ave
Seattle, WA 98122
Phone (206) 296-5432

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1043632672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 12TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224411",
            "telephone_number": "206-296-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 FAIRVIEW AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095360",
            "telephone_number": "260-254-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "KANTER",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "206-296-6150"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skilled Nursing Facility, Managed by Mirabella",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.