Klean Long Beach, Wa LLC.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

KLEAN LONG BEACH, WA LLC.

Doing business as

Klean Long Beach, WA @ Bellvue

Practice address

1215 120TH Ave NE Ste 201
Bellevue, WA 98005-2135

Phone

(360) 642-3105

NPI assigned

Oct 3, 2013

Last updated

Mar 18, 2014By 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

Andrew Spanswick

Title

Ceo

Phone

(310) 435-8096

Specialties & licenses 1

Addresses

Other names 1

• Klean Long Beach, WA @ Bellvue Doing business as

Tax ID family

Klean Long Beach Wa Bellvue2 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.

• Klean Long Beach, Wa, LLC

  • Substance Abuse Rehabilitation Facility
  • Long Beach, WA
  • NPI 1912245259
  NPD tax ID

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1831526920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8543 SANTA MONICA BLVD STE 11",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 120TH AVE NE STE 201",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052135",
            "telephone_number": "360-642-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEAN LONG BEACH, WA LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "SPANSWICK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-435-8096"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Klean Long Beach, WA @ Bellvue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kitts & Kitts PLLC
• Kjeld Aamodt PC
• Kari Kjos, M.D.
• Kimarlee Klassen
• Sarah L Klausner
• Jennifer Klee, SUPT
• Allegra Klein, ARNP
• Bruce Alan Klein, ND LMP
• Deborra Kay Klein, LMP
• Kate Klein

• Substance Abuse Rehabilitation Facility in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Substance Abuse Rehabilitation Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.