Richmond Beach Rehab LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SI 60112795 Issued in WA

Legal business name

RICHMOND BEACH REHAB LLC

Practice address

19235 15TH Ave NW
Shoreline, WA 98177-2725

Phone

(206) 546-2666

NPI assigned

Jan 15, 2010

Last updated

Jan 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelsey J Adams, MSNPI 1992049027

Title

Speech Language Pathologist

Phone

(520) 591-2919

Specialties & licenses 1

Addresses

Tax ID family

Ability Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Richmond Beach Rehab LLC

  • Skilled Nursing Facility
  • Shoreline, WA
  • NPI 1316932114
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelsey Adams, CCC-SLP

  • Speech-Language Pathologist
  • Burien, WA
  • NPI 1992049027
  Authorized official Same address or phone

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1710218656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10014 5TH AVE NE",
            "address_2": "#302",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257447",
            "telephone_number": "520-591-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19235 15TH AVE NW",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981772725",
            "telephone_number": "206-546-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND BEACH REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "520-591-2919",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "SI 60112795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Rice
• Richard T. Jones, DDS, PS
• Gabrielle Richardson, LCPO
• Kathryn Joy Richardson
• Richmond Beach Rehab LLC
• Richmond Clinic TR (Richmond Clinic)
• Richmond Internal Medicine, P.S.
• Richmond Pediatric Clinic Inc. P.S.
• Richmond Senior Care LLC
• Noah Richmond, LMT

• Skilled Nursing Facility in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.