Norse Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

145 Issued in WA

Legal business name

NORSE HOME

Practice address

5311 Phinney Ave N
Seattle, WA 98103-6030

Phone

(206) 781-7400

Fax

(206) 781-7558

NPI assigned

Aug 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Davendra Vijay Raj

Title

Dir of Human Resource

Phone

(206) 781-7400

Specialties & licenses 2

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1235148081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 PHINNEY AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036030",
            "telephone_number": "206-781-7400",
            "fax_number": "206-781-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 PHINNEY AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036030",
            "telephone_number": "206-781-7400",
            "fax_number": "206-781-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORSE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "RAJ",
        "authorized_official_first_name": "DAVENDRA",
        "authorized_official_middle_name": "VIJAY",
        "authorized_official_title_or_position": "DIR OF HUMAN RESOURCE",
        "authorized_official_telephone_number": "206-781-7400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "145",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "410",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4141008",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF REVENUE",
            "identifier": "4142001",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Norris, PHARMD
• Sabrina Norris
• Tessa Norris, AAC
• Thomas E Norris
• Wendi M Norris, MD
• Peter Andrew Norstedt, M.D.
• Gabrielle Nortey, MD
• North American Medical (North American Rehab)
• North Seattle DBT PLLC (Wise Mind Therapy)
• North Seattle Orthodontics PS

• Assisted Living Facility in Seattle, WA
• Providers in Seattle, 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 Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.