Active NPI
Frasco & Sarausad Beverly Lane Inc
- Adult Care Home Facility
- Everett, WA
National Provider Identifier
1841008448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- FRASCO & SARAUSAD BEVERLY LANE INC
- Doing business as
- Frasco & Sarausad Beverly Lane Inc
- Practice address
- 5910 Beverly LN
Everett, WA 98203-3433 - Phone
- (425) 374-7943
- Fax
- (425) 512-8941
- NPI assigned
- Dec 28, 2024
- Last updated
- Dec 28, 2024
- 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. Cesar Frasco Sarausad II
- Title
- Employee
- Phone
- (425) 435-6594
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | NU | Primary |
Addresses
Primary practice location
5910 Beverly LN
Everett, WA 98203-3433
Mailing address
931 12TH Ave N
Edmonds, WA 98020-2936
Phone (425) 435-6594
Other names 1
- Frasco & Sarausad Beverly Lane Inc
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2306418 | Frasco & Sarausad Beverly Lane Inc | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735344000000",
"number": "1841008448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 12TH AVE N",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980202936",
"telephone_number": "425-435-6594",
"fax_number": "206-238-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5910 BEVERLY LN",
"city": "EVERETT",
"state": "WA",
"postal_code": "982033433",
"telephone_number": "425-374-7943",
"fax_number": "425-512-8941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRASCO & SARAUSAD BEVERLY LANE INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-28",
"last_updated": "2024-12-28",
"certification_date": "2024-12-28",
"status": "A",
"authorized_official_last_name": "SARAUSAD",
"authorized_official_first_name": "CESAR",
"authorized_official_middle_name": "FRASCO",
"authorized_official_title_or_position": "EMPLOYEE",
"authorized_official_telephone_number": "425-435-6594",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "II"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Frasco & Sarausad Beverly Lane Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.