Belair Rehab, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH1247 Issued in WA

Legal business name

BELAIR REHAB, INC.

Practice address

630 S Pearl St
Tacoma, WA 98465-2111

Phone

(253) 564-7111

NPI assigned

Nov 21, 2005

Organization subpart

No

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

Authorized official

Name

Karl Miller Jr.

Title

Ceo

Phone

(503) 570-3405

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356324719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE",
            "address_2": "SUITE F",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S PEARL ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984652111",
            "telephone_number": "253-564-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELAIR REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-570-3405",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "NH1247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4112470",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Joe Beke, DDM
• Alison Bekker, LMFTA
• Brady James Bekker
• Andrea Rose Bekkers, LMHC
• Ayele Biresaw Belachew
• Belair Rehab, LLC
• Alexander Anthony Belardo-Defelice
• Lindsay A Belcher, D.P.T.
• Charles G. Beleny, D.O.
• Lanie Belic, M.D.

• Skilled Nursing Facility in Tacoma, WA
• Providers in Tacoma, 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 22, 2020; 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.