Organization Active NPI

Moss Bay Senior Living, Inc.

Doing business as Redmond Heights Senior Living

  • Assisted Living Facility
  • Redmond, WA
National Provider Identifier
1215277538
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MOSS BAY SENIOR LIVING, INC.
Doing business as
Redmond Heights Senior Living
Practice address
7950 Willows Rd NE
Redmond, WA 98052-6813
Phone
(425) 885-4157
Fax
(425) 882-3308
NPI assigned
Feb 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Lee Johnson
Title
Treasurer
Phone
(208) 401-1369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X WA Primary

Addresses

Primary practice location

7950 Willows Rd NE
Redmond, WA 98052-6813

Mailing address

7950 Willows Rd NE
Redmond, WA 98052-6813
Phone (425) 885-4157

Other names 1

  • Redmond Heights Senior Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1215277538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 WILLOWS RD NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980526813",
            "telephone_number": "425-885-4157",
            "fax_number": "425-882-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 WILLOWS RD NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980526813",
            "telephone_number": "425-885-4157",
            "fax_number": "425-882-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS BAY SENIOR LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "208-401-1369"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redmond Heights Senior Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Redmond Heights Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.