Organization Active NPI

Tacoma Care Center, Inc

Doing business as Tacoma Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Tacoma, WA
National Provider Identifier
1679510150
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1377 Issued in WA
Legal business name
TACOMA CARE CENTER, INC
Doing business as
Tacoma Nursing & Rehabilitation Center
Practice address
2102 S 96TH St
Tacoma, WA 98444-1753
Phone
(253) 581-2514
Fax
(253) 581-2434
NPI assigned
Jun 1, 2006
Last updated
Aug 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Gregory J Vislocky
Title
Ex VP of Finance / Partner
Phone
(360) 735-7155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1377 WA Primary

Addresses

Primary practice location

2102 S 96TH St
Tacoma, WA 98444-1753

Mailing address

2102 S 96TH St
Tacoma, WA 98444-1753
Phone (253) 581-2514

Other identifiers 1

IdentifierTypeStateIssuer
4113775MedicaidWA

Other names 1

  • Tacoma Nursing & Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1679510150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 S 96TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984441753",
            "telephone_number": "253-581-2514",
            "fax_number": "253-581-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 S 96TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984441753",
            "telephone_number": "253-581-2514",
            "fax_number": "253-581-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACOMA CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "VISLOCKY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EX VP OF FINANCE / PARTNER",
        "authorized_official_telephone_number": "360-735-7155"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "1377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4113775",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tacoma Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.