NPIMap

Organization Active NPI

Mission Healthcare at Bellevue, Joint Venture

  • Skilled Nursing Facility
  • Bellevue, WA
National Provider Identifier
1730189440
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1365 Issued in WA
Legal business name
MISSION HEALTHCARE AT BELLEVUE, JOINT VENTURE
Practice address
2424 156TH Ave NE
Bellevue, WA 98007-3814
Phone
(425) 897-8800
Fax
(425) 897-8801
NPI assigned
Jul 22, 2005
Last updated
Apr 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Authorized official

Name
Roger Alan Joice
Title
Executive Director
Phone
(425) 897-8806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1365 WA Primary

Addresses

Primary practice location

2424 156TH Ave NE
Bellevue, WA 98007-3814

Mailing address

PO Box 1969
Gig Harbor, WA 98335-3969
Phone (253) 853-4457

Other identifiers 1

IdentifierTypeStateIssuer
4113650MedicaidWA

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.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1730189440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1969",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983353969",
            "telephone_number": "253-853-4457",
            "fax_number": "253-853-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 156TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073814",
            "telephone_number": "425-897-8800",
            "fax_number": "425-897-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HEALTHCARE AT BELLEVUE, JOINT VENTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "JOICE",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "425-897-8806"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "1365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4113650",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.