Active NPI
Ah, LLC
Doing business as Anderson House
- Skilled Nursing Facility
- Shoreline, WA
National Provider Identifier
1508854944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH 1328
- Legal business name
- AH, LLC
- Doing business as
- Anderson House
- Practice address
- 17127 15TH Ave NE
Shoreline, WA 98155-5127 - Phone
- (206) 364-7131
- Fax
- (206) 361-8262
- NPI assigned
- Oct 10, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Pamela S. Matiko, RN
- Title
- Administrator/Member
- Phone
- (206) 364-7131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH 1328 | WA | Primary |
Addresses
Primary practice location
17127 15TH Ave NE
Shoreline, WA 98155-5127
Mailing address
17127 15TH Ave NE
Shoreline, WA 98155-5127
Phone (206) 364-7131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 603094005 | Other | WA | GROUP HEALTH |
Other names 1
- Anderson House
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319760000000",
"number": "1508854944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17127 15TH AVE NE",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981555127",
"telephone_number": "206-364-7131",
"fax_number": "206-361-8262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17127 15TH AVE NE",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981555127",
"telephone_number": "206-364-7131",
"fax_number": "206-361-8262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-10",
"last_updated": "2011-10-28",
"status": "A",
"authorized_official_last_name": "MATIKO",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "ADMINISTRATOR/MEMBER",
"authorized_official_telephone_number": "206-364-7131",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WA",
"license": "NH 1328",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH",
"identifier": "603094005",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Anderson House",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.