Longhouse Bothell LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LONGHOUSE BOTHELL LLC

Practice address

16605 122ND PL NE
Bothell, WA 98011-7114

Phone

(425) 362-5529

NPI assigned

Jul 17, 2020

Organization subpart

No

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

Authorized official

Name

Matthew Long

Title

Owner/Director

Phone

(206) 307-4775

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1174131999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16605 122ND PL NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980117114",
            "telephone_number": "425-362-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16605 122ND PL NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980117114",
            "telephone_number": "425-362-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGHOUSE BOTHELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "206-307-4775"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angela Maria Loney, MAED, LMHCA
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• Assisted Living Facility in Bothell, WA
• Providers in Bothell, 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 Jul 17, 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.