Organization Active NPI

University Place Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • University Place, WA
National Provider Identifier
1265950422
Registry record updated Sep 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Sep 7, 2017

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.