Talbot Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

TALBOT REHABILITATION CENTER, LLC

Doing business as

Talbot Center for Rehabilitation and Healthcare

Practice address

4430 Talbot Road South
Renton, WA 98055

Phone

(425) 226-7500

Fax

(425) 793-4874

NPI assigned

Nov 10, 2017

Organization subpart

No

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

Authorized official

Name

Samuel Zack

Title

Member

Phone

(323) 936-6000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Talbot Center for Rehabilitation and Healthcare Doing business as

Locations

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1851804959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N. MARYLAND AVENUE",
            "address_2": "SUITE 300",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91206",
            "telephone_number": "323-936-6000",
            "fax_number": "323-936-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 TALBOT ROAD SOUTH",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98055",
            "telephone_number": "425-226-7500",
            "fax_number": "425-793-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALBOT REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-10",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "ZACK",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "323-936-6000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CERTIFICATION NUMBER",
            "identifier": "505202",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Talbot Center for Rehabilitation and Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Talbot Center for Rehabilitation and Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jon Takagi, PT
• Kenneth K Takemura, M.D.
• Megan Ann Taketa
• Sarah Ashley Taketa, DPT
• Talbot Rd S I Healthcare LLC (Valley View Skilled Nursing and Rehabilitation)
• Cherrie Rose Tan Dy, M.D.
• Hyoeun Tan
• Ling Han Tan, MD
• Marcus Guorui Tan, MD, FAAD, FRCPC
• Albert Tang, BSP

• Skilled Nursing Facility in Renton, WA
• Providers in Renton, 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 Apr 2, 2018; 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.