J,K &L, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4113130 Issued in WA

Legal business name

J,K &L, INC.

Doing business as

San Juan Rehabilitation and Care Center

Practice address

911 21St St
Anacortes, WA 98221-2513

Phone

(360) 293-7222

Fax

(360) 293-7281

NPI assigned

Aug 11, 2006

Last updated

Apr 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James K Roe

Title

President

Phone

(360) 293-7222

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• San Juan Rehabilitation and Care Center Doing business as

Tax ID family

JK L Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• J,K, & L, Inc.

  dba Shuksan Healthcare Center

  • Skilled Nursing Facility
  • Bellingham, WA
  • NPI 1467463752
  NPD tax ID

Locations

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460851200000",
    "number": "1902817281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 21ST ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212513",
            "telephone_number": "360-293-7222",
            "fax_number": "360-293-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 21ST ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212513",
            "telephone_number": "360-293-7222",
            "fax_number": "360-293-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J,K &L, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2016-04-17",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-293-7222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "4113130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4113130",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Juan Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Anacortes, WA
• Providers in Anacortes, 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 17, 2016; 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.