Sabra West Coast Operations V, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SABRA WEST COAST OPERATIONS V, LLC

Practice address

11117 20TH St NE
Lake Stevens, WA 98258-8142

Phone

(425) 405-7875

NPI assigned

Sep 9, 2022

Organization subpart

No

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

Authorized official

Name

Jessica Flores

Title

Senior VP, Treasurer, Secretary

Phone

(949) 679-0398

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1730800533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18500 VON KARMAN AVE STE 550",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926120539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11117 20TH ST NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982588142",
            "telephone_number": "425-405-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABRA WEST COAST OPERATIONS V, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "SENIOR VP, TREASURER, SECRETARY",
        "authorized_official_telephone_number": "949-679-0398"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Lake Stevens, WA
• Providers in Lake Stevens, 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 Sep 9, 2022; 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.