RSL Everett, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RSL EVERETT, LLC

Doing business as

South Pointe Assisted Living

Practice address

10330 4TH Ave W
Everett, WA 98204-3905

Phone

(425) 513-5645

Fax

(425) 290-5376

NPI assigned

Jun 17, 2020

Organization subpart

Yes

Parent organization

RADIANTCOMPANIES, INC.As reported in NPPES

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

Authorized official

Name

James Guffee

Title

President of Manager

Phone

(503) 595-2810

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SOUTH POINTE ASSISTED LIVING Doing business as

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1699391516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10220 SW GREENBURG RD STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235505",
            "telephone_number": "503-595-2810",
            "fax_number": "503-595-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 4TH AVE W",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982043905",
            "telephone_number": "425-513-5645",
            "fax_number": "425-290-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSL EVERETT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADIANTCOMPANIES, INC.",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "GUFFEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT OF MANAGER",
        "authorized_official_telephone_number": "503-595-2810"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111642201",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING FACILITY LICENSE",
            "identifier": "2253",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH POINTE ASSISTED LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krista Lynn Rowe, LMP
• Lucinda Ann Rowley
• Lucas Lee Roy, MD
• Madhurina Roy, M.D
• Abbey Rozicki
• Rachel Ruble, LMP
• Rucker Avenue Chiropractic Center, PS
• Kasey Rude
• Melissa Rudolf
• G. Thomas Ruebel, MD

• Assisted Living Facility in Everett, WA
• Providers in Everett, 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 Jun 17, 2020; 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.