University Place Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH 1098 Issued in WA

Legal business name

UNIVERSITY PLACE CARE CENTER

Practice address

5520 Bridgeport Way W
University Place, WA 98467-2041

Phone

(253) 566-7166

Fax

(253) 564-8034

NPI assigned

Jun 20, 2005

Last updated

Jul 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nola A Davis-Miller

Title

Director of Operations

Phone

(253) 566-7166

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1649275140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 BRIDGEPORT WAY W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984672041",
            "telephone_number": "253-566-7166",
            "fax_number": "253-564-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 BRIDGEPORT WAY W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984672041",
            "telephone_number": "253-566-7166",
            "fax_number": "253-564-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PLACE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS-MILLER",
        "authorized_official_first_name": "NOLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "253-566-7166",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "NH 1098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4110987",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NH 1098",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zane Maxwell Tschida
• Christopher Thomas Tucker
• Mimi A Tutihasi, MD
• Jessica Tweed, LMHC
• Akari Uchiyama, DPT
• University Place Chiropractic Inc (University Place Chiropractic)
• University Place Dental Clinic
• University Place Massage, LLC
• University Place Rehabilitation Center, LLC (University Place Rehabilitation Center)
• University Place School

• Skilled Nursing Facility in University Place, WA
• Providers in University Place, 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 Jul 21, 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.