CSH Queen Anne Lessee, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CSH QUEEN ANNE LESSEE, LLC

Doing business as

Queen Anne Manor

Practice address

100 Crockett St
Seattle, WA 98109-2514

Phone

(206) 282-5001

NPI assigned

Jan 22, 2016

Last updated

Jan 22, 2016By 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

Kyle Henderson

Title

Vice President

Phone

(202) 469-8400

Specialties & licenses 1

Addresses

Other names 1

• Queen Anne Manor Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1790142636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 PENNSYLVANIA AVE NW FL 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200042428",
            "telephone_number": "202-469-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CROCKETT ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092514",
            "telephone_number": "206-282-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSH QUEEN ANNE LESSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "202-469-8400"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queen Anne Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martina Margrit Crysandt, M.D.
• Cyrus Cryst, MD
• Crystal M Deloach PHD LLC
• Sarah Ingrid Crystal, PHD
• Sophia Csepreghy, CNM
• Bryan Michael Csiga, LMP
• Laniel A Cua, PA-C
• Edward Cuaresma
• Celia Claire Cubitt, MD, PHD
• Lauren Marie Cudaback, LSWAIC

• Assisted Living Facility in Seattle, WA
• Providers in Seattle, 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 Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.