NPIMap

Organization Active NPI

Lakewood Healthcare

  • Skilled Nursing Facility
  • Lakewood, WA
National Provider Identifier
1184887366
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NA
Legal business name
LAKEWOOD HEALTHCARE
Practice address
11411 Bridgeport Way SW
Lakewood, WA 98499
Phone
(253) 589-6441
Fax
(253) 589-5290
NPI assigned
Jul 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Trudymarie Devilla, MSOTR
Title
Rehab Manager
Phone
(253) 589-6441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NA Primary

Addresses

Primary practice location

11411 Bridgeport Way SW
Lakewood, WA 98499

Mailing address

11411 Bridgeport Way SW
Lakewood, WA 98499
Phone (253) 589-6441

National Provider Directory

National Provider Directory
Tax ID family
Parkview Acres Care and Rehab8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1184887366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11411 BRIDGEPORT WAY SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98499",
            "telephone_number": "253-589-6441",
            "fax_number": "253-589-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 BRIDGEPORT WAY SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98499",
            "telephone_number": "253-589-6441",
            "fax_number": "253-589-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "DEVILLA",
        "authorized_official_first_name": "TRUDYMARIE",
        "authorized_official_title_or_position": "REHAB MANAGER",
        "authorized_official_telephone_number": "253-589-6441",
        "authorized_official_credential": "MSOTR"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.