Organization Active NPI

Garden Court Lessee, LLC

  • Assisted Living Facility
  • Everett, WA
National Provider Identifier
1881328656
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GARDEN COURT LESSEE, LLC
Practice address
520 112TH St SW
Everett, WA 98204-4828
Phone
(425) 438-9080
Fax
(425) 438-1604
NPI assigned
Jul 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Authorized official

Name
Mr. Gordon 'Phil' Altman
Title
Regional VP, Operations
Phone
(303) 750-5522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

520 112TH St SW
Everett, WA 98204-4828

Mailing address

520 112TH St SW
Everett, WA 98204-4828

Other identifiers 1

IdentifierTypeStateIssuer
604201028OtherWAUBI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address silverlake.bom@mstarliving.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1881328656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 112TH ST SW",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982044828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 112TH ST SW",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982044828",
            "telephone_number": "425-438-9080",
            "fax_number": "425-438-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN COURT LESSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "GORDON 'PHIL'",
        "authorized_official_title_or_position": "REGIONAL VP, OPERATIONS",
        "authorized_official_telephone_number": "303-750-5522",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI",
            "identifier": "604201028",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "silverlake.bom@mstarliving.com",
            "affiliation": "N",
            "endpointDescription": "Provider location",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "520 112th St SW",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982044828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Jul 15, 2022; 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.