Active NPI
North Auburn Health LLC
- Skilled Nursing Facility
- Auburn, WA
National Provider Identifier
1811061518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- NORTH AUBURN HEALTH LLC
- Practice address
- 2830 I St NE
Auburn, WA 98002-2410 - Phone
- (253) 561-8100
- Fax
- (253) 735-5159
- NPI assigned
- Nov 17, 2006
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2830 I St NE
Auburn, WA 98002-2410
Mailing address
2830 I St NE
Auburn, WA 98002-2410
Phone (253) 561-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4110045 | Medicaid | WA |
Other names 1
- North Auburn Rehabilitation &Health Center
National Provider Directory
National Provider Directory- Tax ID family
- Extendicare Homes Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Auburn, WA
- NPI 1104330349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1811061518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2830 I ST NE",
"city": "AUBURN",
"state": "WA",
"postal_code": "980022410",
"telephone_number": "253-561-8100",
"fax_number": "253-735-5159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2830 I ST NE",
"city": "AUBURN",
"state": "WA",
"postal_code": "980022410",
"telephone_number": "253-561-8100",
"fax_number": "253-735-5159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH AUBURN HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"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": "4110045",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North Auburn Rehabilitation &Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Auburn, WA
Sources for this page
- 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.