NPIMap

Organization Active NPI

Crista Ministries

Doing business as Cristwood Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Seattle, WA
National Provider Identifier
1669606885
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
274 Issued in WA
Legal business name
CRISTA MINISTRIES
Doing business as
Cristwood Nursing & Rehabilitation Center
Practice address
19301 Kings Garden Dr N
Seattle, WA 98133-3800
Phone
(206) 546-7400
Fax
(206) 546-7221
NPI assigned
May 4, 2009
Organization subpart
Yes
Parent organization
CRISTA MINISTRIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Authorized official

Name
Jefferson Henson
Title
Executive Director & Administrator
Phone
(206) 546-7567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 274 WA Primary

Addresses

Primary practice location

19301 Kings Garden Dr N
Seattle, WA 98133-3800

Mailing address

19303 Fremont Ave N
Seattle, WA 98133-3800
Phone (206) 546-7400

Other identifiers 2

IdentifierTypeStateIssuer
505069OtherWAMEDICARE PTAN
4127403MedicaidWA

Other names 1

  • CRISTWOOD NURSING & REHABILITATION CENTER Doing business as

National Provider Directory

National Provider Directory
Part of
Crista Ministries

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1669606885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19303 FREMONT AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981333800",
            "telephone_number": "206-546-7400",
            "fax_number": "206-546-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19301 KINGS GARDEN DR N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981333800",
            "telephone_number": "206-546-7400",
            "fax_number": "206-546-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISTA MINISTRIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRISTA MINISTRIES",
        "enumeration_date": "2009-05-04",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "JEFFERSON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR & ADMINISTRATOR",
        "authorized_official_telephone_number": "206-546-7567"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "505069",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4127403",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRISTWOOD NURSING & REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.