Belmont Terrace, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH575 Issued in WA

Legal business name

BELMONT TERRACE, INC.

Practice address

560 Lebo Blvd
Bremerton, WA 98310-2617

Phone

(360) 479-1515

Fax

(360) 479-1699

NPI assigned

Jul 14, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Robert M Washbond, LNHA

Title

Administrator

Phone

(360) 479-1515

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1720087448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 LEBO BLVD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983102617",
            "telephone_number": "360-479-1515",
            "fax_number": "360-479-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 LEBO BLVD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983102617",
            "telephone_number": "360-479-1515",
            "fax_number": "360-479-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT TERRACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "WASHBOND",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-479-1515",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "NH575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4157509",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Bremerton, WA
• Providers in Bremerton, 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 Jun 22, 2009; 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.