NPIMap

Organization Active NPI

Crown Assisted Living Development

  • Assisted Living Facility
  • Tacoma, WA
National Provider Identifier
1396130167
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
601457699 Issued in WA
Legal business name
CROWN ASSISTED LIVING DEVELOPMENT
Doing business as
Life Manor Assisted Living Development
Practice address
1609 S Union Ave
Tacoma, WA 98405-1937
Phone
(253) 779-3800
Fax
(253) 779-3822
NPI assigned
Mar 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Ms. Patricia A Walker, RN,BSN,MA
Title
Executive Director
Phone
(253) 779-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 601457699 WA Primary

Addresses

Primary practice location

1609 S Union Ave
Tacoma, WA 98405-1937

Mailing address

1609 S Union Ave
Tacoma, WA 98405-1937
Phone (253) 779-3800

Other names 1

  • Life Manor Assisted Living Development Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1396130167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 S UNION AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051937",
            "telephone_number": "253-779-3800",
            "fax_number": "253-779-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 S UNION AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051937",
            "telephone_number": "253-779-3800",
            "fax_number": "253-779-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN ASSISTED LIVING DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "253-779-3800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN,BSN,MA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "601457699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Manor Assisted Living Development",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.