Opportunities Industrialization Center of Washington

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

600514067 Issued in WA

Legal business name

OPPORTUNITIES INDUSTRIALIZATION CENTER OF WASHINGTON

Doing business as

Leon Sullivan Health Care Center

Practice address

2611 S Dearborn St
Seattle, WA 98144-3013

Phone

(206) 325-6700

Fax

(206) 325-4088

NPI assigned

Sep 20, 2005

Organization subpart

No

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

Authorized official

Name

Sharon R Dunning

Title

Financial Manager

Phone

(206) 325-6700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Leon Sullivan Health Care Center Doing business as

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1326033986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 S DEARBORN ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981443013",
            "telephone_number": "206-325-6700",
            "fax_number": "206-325-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 S DEARBORN ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981443013",
            "telephone_number": "206-325-6700",
            "fax_number": "206-325-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPPORTUNITIES INDUSTRIALIZATION CENTER OF WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "DUNNING",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "206-325-6700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "600514067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4113403",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leon Sullivan Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Seattle, WA
• Providers in Seattle, 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 Oct 18, 2012; 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.