BD Everett I, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH1131 Issued in WA

Legal business name

BD EVERETT I, LLC

Practice address

5129 Hilltop Rd
Everett, WA 98203-3163

Phone

(425) 258-4474

Fax

(425) 252-0520

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Doug Devore

Title

Cfo

Phone

(425) 392-4066

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FOREST VIEW TRANSITIONAL HEALTH CENTER Doing business as

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1508964719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 160TH AVE SE",
            "address_2": "SUITE 120",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980086418",
            "telephone_number": "425-392-4066",
            "fax_number": "425-623-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5129 HILLTOP RD",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982033163",
            "telephone_number": "425-258-4474",
            "fax_number": "425-252-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BD EVERETT I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "DEVORE",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "425-392-4066"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "NH1131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4114294",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOREST VIEW TRANSITIONAL HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emina Polovina Bayomy, ARNP
• Bayside Birth
• Ed Anthony Bayya, CRNA
• Pranitha Jemima Bayya
• Alec Steele Bazaldua
• Mei-Lin Su Beagle
• Sheila K. Beal, L.P.N.
• Bevin Beals
• Sarah Marie Beals, CBT
• Amanda Michelle Bean, MSW

• Skilled Nursing Facility in Everett, WA
• Providers in Everett, 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 May 15, 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.