J,K, & L, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4113148 Issued in WA

Legal business name

J,K, & L, INC.

Doing business as

Shuksan Healthcare Center

Practice address

1530 James St
Bellingham, WA 98225-4945

Phone

(360) 733-9161

Fax

(360) 715-1948

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

James K Roe

Title

President

Phone

(360) 293-7222

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shuksan Healthcare Center Doing business as

Tax ID family

JK L Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• J,K &L, Inc.

  • Skilled Nursing Facility
  • Anacortes, WA
  • NPI 1902817281
  NPD tax ID

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460851200000",
    "number": "1467463752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 21ST ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212513",
            "telephone_number": "360-293-7222",
            "fax_number": "360-293-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 JAMES ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254945",
            "telephone_number": "360-733-9161",
            "fax_number": "360-715-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J,K, & L, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2016-04-17",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-293-7222"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "4113148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4113148",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shuksan Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Michael Itzcovich Schuster
• Radu Ivan, ARNP
• Julea Rose Ivancovich
• Julia Joy Iversen, LMHCA
• Lisa Iversen, MSW
• Shafaq Jabeen, MD
• Frances Jablonski, MD
• Teresa Jackson-Novak, MD
• Jacob Nathaniel Jackson
• Jordan Jackson

• Skilled Nursing Facility in Bellingham, WA
• Providers in Bellingham, 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 Apr 17, 2016; 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.