Assisted Living Concepts Inc
Organization Active NPI Assisted Living Facility · Sequim, WA
NPI 1831215375 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1831215375
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- BH1843 (WA)
- Legal business name
- ASSISTED LIVING CONCEPTS INC
- Practice address
- 680 West Prairie Street
Sequim, WA 98382 - Phone
- (360) 681-3385
- Fax
- (360) 683-4463
- NPI assigned
- Mar 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Walter A Levonowich
- Title
- Vice President and Controller
- Phone
- (414) 908-8800
Corporate family (same tax ID) 16
National Provider Directory
- Tax ID family
- Assisted Living Concepts Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | BH1843 | WA | Yes |
Addresses
Primary practice location
680 West Prairie Street
Sequim, WA 98382
Mailing address
111 W Michigan Street
9TH Floor
Milwaukee, WI 53203
Phone (414) 908-8800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 749612 | Medicaid | WA |
Other names
- Prairie Springs Assisted Living
Other providers in Sequim, WA
- Anthony R Brock DMD PLLC
- Craig Russell Apelt
- Mary Jane Apple
- Emily A April
- Mary L Arnott
- Atlas Chiropractic and Wellness, LLC
- Militza Ausmanas
- Avalon Massage & Day Spa
- Avalon Massage & Day Spa LTD
- Avalon Massage and Day Spa LTD Limited
All providers in Sequim, WA · Assisted Living Facility in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.