Organization Active NPI

North Auburn Health LLC

  • Skilled Nursing Facility
  • Auburn, WA
National Provider Identifier
1811061518
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4110045MedicaidWA

Other names 1

  • North Auburn Rehabilitation &Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Extendicare Homes Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.