Organization Active NPI

Crista Ministries

Doing business as CRISTA Rehab & Skilled Care

  • Skilled Nursing Facility
  • Shoreline, WA
National Provider Identifier
1699872382
Registry record updated Jul 26, 2019
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
CRISTA Rehab & Skilled Care
Practice address
19301 Kings Garden Dr N
Shoreline, WA 98133-3838
Phone
(206) 546-7400
Fax
(206) 546-7221
NPI assigned
Sep 17, 2006
Last updated
Jul 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Authorized official

Name
Glen Melin
Title
Vice President for Senior Living
Phone
(206) 289-7856

Specialties & licenses 1

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

Addresses

Primary practice location

19301 Kings Garden Dr N
Shoreline, WA 98133-3838

Mailing address

19303 Fremont Ave N
Ms#85
Seattle, WA 98133-3800
Phone (206) 289-7830

Other identifiers 1

IdentifierTypeStateIssuer
4127403MedicaidWA

Other names 1

  • CRISTA Rehab & Skilled Care Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1699872382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19303 FREMONT AVE N",
            "address_2": "MS#85",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981333800",
            "telephone_number": "206-289-7830",
            "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": "SHORELINE",
            "state": "WA",
            "postal_code": "981333838",
            "telephone_number": "206-546-7400",
            "fax_number": "206-546-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISTA MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "MELIN",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "VICE PRESIDENT FOR SENIOR LIVING",
        "authorized_official_telephone_number": "206-289-7856"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4127403",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRISTA Rehab & Skilled Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.