Madeleine Villa Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

505 Issued in WA

Legal business name

MADELEINE VILLA INC.

Practice address

5925 47TH Ave NE
Marysville, WA 98270-5152

Phone

(360) 659-1259

Fax

(360) 657-3562

NPI assigned

Aug 19, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Michael E. Downey

Title

Owner/Ceo

Phone

(360) 659-1259

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1326030826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5921 47TH AVE NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982705152",
            "telephone_number": "360-659-1259",
            "fax_number": "360-657-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 47TH AVE NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982705152",
            "telephone_number": "360-659-1259",
            "fax_number": "360-657-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADELEINE VILLA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "DOWNEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "360-659-1259",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH COOPERATIVE",
            "identifier": "212762001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BLUE CROSS",
            "identifier": "220",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4150504",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "MA4479",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cuong Q. Luu, D.D.S.
• Monique Luu
• Faith E Lykken, LMP
• M Virk DMD, PLLC (Dentistry @ Marysville)
• Erica Renee Maccurdy, LMT
• Madisons Counseling PLLC
• Madrona Therapy Group, P.C. (Conner Cress Counseling)
• Justin Maduobi
• Toshiko Magnus, MD
• Navdeep Singh Mahil, LMP

• Skilled Nursing Facility in Marysville, WA
• Providers in Marysville, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.