Forest Ridge Health - Bremerton LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FOREST RIDGE HEALTH - BREMERTON LLC

Doing business as

Forest Ridge Health & Rehabilitation Center

Practice address

140 S Marion Ave
Bremerton, WA 98312-3639

Phone

(360) 479-4747

Fax

(360) 377-3736

NPI assigned

Nov 14, 2006

Last updated

Jul 21, 2022By 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

Mr. Dov E Jacobs

Title

Manager

Phone

(323) 678-4426

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Forest Ridge Health & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780756932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S MARION AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983123639",
            "telephone_number": "360-479-4747",
            "fax_number": "360-377-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S MARION AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983123639",
            "telephone_number": "360-479-4747",
            "fax_number": "360-377-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST RIDGE HEALTH - BREMERTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "DOV",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-678-4426",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4111589",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Ridge Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Forefront Dermatology, S.C.
• Riley Edward Foreman, DO
• Lauren P Foresman, PA-C
• Ryan N Foresman, MD
• Forest Ridge Health - Bremerton LLC (Emerald Bay Care)
• Paige Forhan
• Felicia Fortin
• Kathrin Bires Fortner, PT
• Madison Kristine Fortney
• Foundation of Homeless & Poverty Management

• 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 Jul 21, 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.