NPIMap

Organization Active NPI

Valley View Senior Care

  • Adult Care Home Facility
  • Kent, WA
National Provider Identifier
1538330832
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
695200 Issued in WA
Legal business name
VALLEY VIEW SENIOR CARE
Practice address
615 Summit Ave N
Kent, WA 98030-4707
Phone
(263) 850-8439
Fax
(253) 373-1399
NPI assigned
Mar 14, 2008
Last updated
Mar 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Mrs. Jennifer May Potra
Title
Provider
Phone
(253) 850-8439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 695200 WA Primary

Addresses

Primary practice location

615 Summit Ave N
Kent, WA 98030-4707

Mailing address

615 Summit Ave N
Kent, WA 98030-4707
Phone (263) 850-8439

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1538330832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SUMMIT AVE N",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304707",
            "telephone_number": "263-850-8439",
            "fax_number": "253-373-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SUMMIT AVE N",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304707",
            "telephone_number": "263-850-8439",
            "fax_number": "253-373-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VIEW SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "POTRA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "253-850-8439",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "695200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.