Organization Active NPI

Tacoma Health & Rehab LLC

Doing business as Tacoma Health and Rehab

  • Skilled Nursing Facility
  • Tacoma, WA
National Provider Identifier
1942794896
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TACOMA HEALTH & REHAB LLC
Doing business as
Tacoma Health and Rehab
Practice address
2102 S 96TH St
Tacoma, WA 98444-1753
Phone
(253) 581-2514
NPI assigned
Jun 14, 2018
Last updated
Jun 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Authorized official

Name
Dov Jacobs
Title
President
Phone
(323) 678-4426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2102 S 96TH St
Tacoma, WA 98444-1753

Mailing address

3220 Rosedale St NW Ste 200
Gig Harbor, WA 98335-1837

Other names 1

  • Tacoma Health and Rehab Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1942794896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 ROSEDALE ST NW STE 200",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 S 96TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984441753",
            "telephone_number": "253-581-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACOMA HEALTH & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "DOV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-678-4426"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tacoma Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tacoma Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.