Active NPI
University Place Rehabilitation Center, LLC
- Skilled Nursing Facility
- University Place, WA
National Provider Identifier
1265950422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- UNIVERSITY PLACE REHABILITATION CENTER, LLC
- Practice address
- 5520 Bridgeport Way W.
University Place, WA 98467 - Phone
- (253) 566-7166
- Fax
- (253) 564-8034
- NPI assigned
- Sep 7, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Irving Bauman
- Title
- Member/Manager
- Phone
- (323) 936-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
5520 Bridgeport Way W.
University Place, WA 98467
Mailing address
230 N. Maryland Avenue
Suite 300
Glendale, CA 91206
Phone (323) 936-6000
Other names 1
- University Place Rehabilitation Center
National Provider Directory
National Provider DirectoryLocations
5520 Bridgeport Way W
University Place, WA 98467
Phone (253) 566-7166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1504742400000",
"number": "1265950422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 N. MARYLAND AVENUE",
"address_2": "SUITE 300",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91206",
"telephone_number": "323-936-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5520 BRIDGEPORT WAY W.",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "98467",
"telephone_number": "253-566-7166",
"fax_number": "253-564-8034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY PLACE REHABILITATION CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-07",
"last_updated": "2017-09-07",
"status": "A",
"authorized_official_last_name": "BAUMAN",
"authorized_official_first_name": "IRVING",
"authorized_official_title_or_position": "MEMBER/MANAGER",
"authorized_official_telephone_number": "323-936-6000"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "University Place Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in University Place, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.