Organization Active NPI

Frasco & Sarausad Beverly Lane Inc

  • Adult Care Home Facility
  • Everett, WA
National Provider Identifier
1841008448
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2306418Frasco & Sarausad Beverly Lane Inc5910 Beverly LN, Everett, WA 98203Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.