PSL Associates LLC, Dba

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PSL ASSOCIATES LLC, DBA

Doing business as

Cordata Court

Practice address

4415 Columbine Dr
Bellingham, WA 98226-8039

Phone

(360) 715-8822

Fax

(360) 715-8818

NPI assigned

Jan 2, 2019

Organization subpart

No

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

Authorized official

Name

Anna Castle, BOM

Title

Business Office Manager

Phone

(360) 715-8822

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cordata Court Doing business as

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1396218350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 COLUMBINE DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268039",
            "telephone_number": "360-715-8822",
            "fax_number": "360-715-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 COLUMBINE DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268039",
            "telephone_number": "360-715-8822",
            "fax_number": "360-715-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSL ASSOCIATES LLC, DBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "360-715-8822",
        "authorized_official_credential": "BOM"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841627890",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cordata Court",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.