Sequim Health, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SEQUIM HEALTH, LLC

Practice address

650 W Hemlock St
Sequim, WA 98382-3718

Phone

(360) 582-2400

Fax

(360) 582-2419

NPI assigned

Nov 22, 2006

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 2

• Sequim Health & Rehabilitation Center Doing business as
• Sequim Health and Rehabilitation Doing business as

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780759977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W HEMLOCK ST",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823718",
            "telephone_number": "360-582-2400",
            "fax_number": "360-582-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W HEMLOCK ST",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823718",
            "telephone_number": "360-582-2400",
            "fax_number": "360-582-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUIM HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "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": "4114120",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sequim Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sequim Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sequim Counseling LLC
• Sequim Family Chiropractic Center
• Sequim Family Dentistry
• Sequim Health and Chiropractic LLC
• Sequim Health, LLC
• Sequim Medical Associates, PLLP
• Sequim of Cascadia, LLC
• Sequim Physical Therapy Center, PS
• Sequim Physician Clinic
• Sequim Rehabilitation LLC

• Skilled Nursing Facility in Sequim, WA
• Providers in Sequim, 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.