Foss Home & Village

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH417 Issued in WA

Legal business name

FOSS HOME & VILLAGE

Doing business as

Foss Home

Practice address

13023 Greenwood Ave N
Seattle, WA 98133-7308

Phone

(206) 364-1300

Fax

(206) 367-3057

NPI assigned

Jun 16, 2005

Organization subpart

No

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

Authorized official

Name

Mr. David Hoffman

Title

Vice President of Finance

Phone

(253) 756-7565

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Foss Home Doing business as

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arash Mirzaie Amirabadi, MD

  • Family Medicine Physician
  • Bellevue, WA
  • NPI 1750679767
  NPD (past)
• Anshu Rimal, M.D

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1205167194
  NPD (past)
• Floyd Sekeramayi, M.D.

  • Internal Medicine Physician
  • Tacoma, WA
  • NPI 1912324559
  NPD (past)
• Victoria K Stocker, MD

  • Family Medicine Physician
  • Bellevue, WA
  • NPI 1407803026
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1851396766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13023 GREENWOOD AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981337308",
            "telephone_number": "206-364-1300",
            "fax_number": "206-367-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13023 GREENWOOD AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981337308",
            "telephone_number": "206-364-1300",
            "fax_number": "206-367-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSS HOME & VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "253-756-7565",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "BH1065",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "WA",
            "license": "NH417",
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "WA",
            "license": "NH417",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "NH417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4141701",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foss Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Forty Love Nutrition LLC
• Forward Massage and Wellness LLC
• Joanna T Forwell, ND,
• Mark O Fosdal, PA C
• Elaine Watson Fosmire Rundgren, PHARMD
• Jeanne Foss Swaine, LMFT
• Daniel Herbert Foss
• Keagan Foss, DDS
• Kimberly Showers Foss, MS, LGC
• Patricia A. Foss, LMP

• Skilled Nursing Facility in Seattle, WA
• Providers in Seattle, 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 Nov 14, 2023; 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.