Organization Active NPI

Lenor Healthcare Co.

  • Gerontology Nurse Practitioner
  • Bellevue, WA
National Provider Identifier
1649484577
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP30007012 Issued in WA
Legal business name
LENOR HEALTHCARE CO.
Practice address
13891 SE 64TH St
Bellevue, WA 98006-4809
Phone
(206) 954-0075
Fax
(425) 643-2742
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Authorized official

Name
Dr. Eleanor R. Lee, PHD, ARNPNPI 1427094556
Title
President
Phone
(206) 954-0075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X AP30007012 WA Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X AP30007012 WA

Addresses

Primary practice location

13891 SE 64TH St
Bellevue, WA 98006-4809

Mailing address

13891 SE 64TH St
Bellevue, WA 98006-4809
Phone (206) 954-0075

Other identifiers 1

IdentifierTypeStateIssuer
9647868MedicaidWA

Other names 1

  • A stream of care Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060503000262 WA Part B Supplier - Clinic/Group Practice 2062422173 Receives reassigned benefits from 1 practitioner
Practice locations: Bellevue, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400803200000",
    "number": "1649484577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13891 SE 64TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980064809",
            "telephone_number": "206-954-0075",
            "fax_number": "425-643-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13891 SE 64TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980064809",
            "telephone_number": "206-954-0075",
            "fax_number": "425-643-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENOR HEALTHCARE CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2014-05-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-954-0075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, ARNP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP30007012",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30007012",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9647868",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A stream of care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.