Fifteenth Senior Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FIFTEENTH SENIOR CARE LLC

Practice address

15750 NE 15TH St
Bellevue, WA 98008-2703

Phone

(425) 641-4900

NPI assigned

Sep 20, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Robert William Chapin

Title

Authorized Official

Phone

(407) 999-2400

Specialties & licenses 1

Addresses

Other names 1

• Sagebrook Senior Living at Bellevue Other name

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1689158073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LEGION PL STE 1600",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011060",
            "telephone_number": "407-999-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15750 NE 15TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082703",
            "telephone_number": "425-641-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFTEENTH SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "CHAPIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "407-999-2400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sagebrook Senior Living at Bellevue",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.