NPIMap

Organization Active NPI

Lookout Post Acute, LLC

  • Skilled Nursing Facility
  • Mount Vernon, WA
National Provider Identifier
1497147763
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
957 Issued in WA
Legal business name
LOOKOUT POST ACUTE, LLC
Doing business as
Mira Vista Care Center
Practice address
300 S 18TH St
Mount Vernon, WA 98274-4661
Phone
(360) 424-1320
Fax
(360) 848-1948
NPI assigned
Feb 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Authorized official

Name
Mr. Brain James Newberry
Title
Manager
Phone
(801) 899-5364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 957 WA Primary

Addresses

Primary practice location

300 S 18TH St
Mount Vernon, WA 98274-4661

Mailing address

300 S 18TH St
Mount Vernon, WA 98274-4661
Phone (360) 424-1320

Other names 1

  • Mira Vista Care Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1497147763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 18TH ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744661",
            "telephone_number": "360-424-1320",
            "fax_number": "360-848-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 18TH ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744661",
            "telephone_number": "360-424-1320",
            "fax_number": "360-848-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOKOUT POST ACUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "NEWBERRY",
        "authorized_official_first_name": "BRAIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-899-5364",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mira Vista Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.