Organization Active NPI

Sante Shoreline Alf Op Co LLC

  • Assisted Living Facility
  • Shoreline, WA
National Provider Identifier
1962096545
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SANTE SHORELINE ALF OP CO LLC
Practice address
17201 15TH Ave NE
Shoreline, WA 98155-5129
Phone
(360) 801-6389
Fax
(360) 779-3736
NPI assigned
Feb 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Jacob Schaefer
Title
Executive Vice President
Phone
(503) 201-8356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

17201 15TH Ave NE
Shoreline, WA 98155-5129

Mailing address

17201 15TH Ave NE
Shoreline, WA 98155-5129
Phone (360) 801-6389

Other names 1

  • Laurel Cove Community Assisted Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2121774Laurel Cove Community17201 15TH Ave NE, Shoreline, WA 98155Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1962096545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17201 15TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981555129",
            "telephone_number": "360-801-6389",
            "fax_number": "360-779-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17201 15TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981555129",
            "telephone_number": "360-801-6389",
            "fax_number": "360-779-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTE SHORELINE ALF OP CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "503-201-8356"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Cove Community Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laurel Cove Community Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.