Lacey Nursing Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LACEY NURSING CENTER, INC.

Doing business as

Roo-Lan Healthcare Center

Practice address

1505 Carpenter Rd SE
Lacey, WA 98503-2906

Phone

(360) 491-1765

Fax

(360) 491-1891

NPI assigned

Sep 21, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Burton C. Levee

Title

Administrator/Owner

Phone

(360) 491-1765

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Roo-Lan Healthcare Center Doing business as

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821084229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 CARPENTER RD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032906",
            "telephone_number": "360-491-1765",
            "fax_number": "360-491-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 CARPENTER RD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032906",
            "telephone_number": "360-491-1765",
            "fax_number": "360-491-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACEY NURSING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVEE",
        "authorized_official_first_name": "BURTON",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "360-491-1765",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4172904",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roo-Lan Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Lacey, WA
• Providers in Lacey, 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 Aug 22, 2020; 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.