Renton Healthcare Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1554 Issued in WA

Legal business name

RENTON HEALTHCARE REHABILITATION CENTER, LLC

Practice address

80 SW 2ND St
Renton, WA 98057-5937

Phone

(425) 226-4610

NPI assigned

Jan 25, 2017

Organization subpart

No

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

Authorized official

Name

Samuel Zack

Title

Member

Phone

(323) 936-6000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1508303793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N MARYLAND AVE STE 300",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064281",
            "telephone_number": "323-936-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SW 2ND ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575937",
            "telephone_number": "425-226-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENTON HEALTHCARE REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "ZACK",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "323-936-6000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "1554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4113783",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Renton, WA
• Providers in Renton, 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 Oct 11, 2017; 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.