Sante Alf Op Co LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SANTE ALF OP CO LLC

Doing business as

Clearbrook Inn Living Center

Practice address

2321 NW Schold PL
Silverdale, WA 98383-9504

Phone

(360) 800-1638

Fax

(360) 779-3736

NPI assigned

Feb 24, 2021

Last updated

Mar 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacob Schaefer

Title

Executive Vice President

Phone

(503) 201-8356

Specialties & licenses 1

Addresses

Other names 1

• Clearbrook Inn Living Center Doing business as

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1134713712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 NW SCHOLD PL",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839504",
            "telephone_number": "360-800-1638",
            "fax_number": "360-779-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 NW SCHOLD PL",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839504",
            "telephone_number": "360-800-1638",
            "fax_number": "360-779-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTE ALF OP CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "503-201-8356"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearbrook Inn Living Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clearbrook Inn Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.