Aldercrest Health - Edmonds LLC
Organization Active NPI Skilled Nursing Facility · Edmonds, WA
NPI 1962575191 · NPPES record last updated Aug 18, 2017
Key facts
- NPI
- 1962575191
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- ALDERCREST HEALTH - EDMONDS LLC
- Practice address
- 21400 72ND Ave W
Edmonds, WA 98026-7702 - Phone
- (425) 775-1961
- Fax
- (425) 771-0116
- NPI assigned
- Nov 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Dov E Jacobs
- Title
- Manager
- Phone
- (323) 678-4426
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
21400 72ND Ave W
Edmonds, WA 98026-7702
Mailing address
21400 72ND Avenue West
Edmonds, WA 98026-7702
Phone (425) 774-1961
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4194403 | Medicaid | WA |
Other names
- Aldercrest Health & Rehabilitation Center
Other providers in Edmonds, WA
- Enas Hamid Albar
- Joseph Mathew Albert
- Allison Rachelle Alberton
- James Robert Alberts
- Kathleen Klema Albin
- Aldercrest Health - Edmonds, LLC
- Aldora Injury and Wellness PLLC
- Aster Abraha Alemayehu
- Olga I Alexander
- Robert Alexander
All providers in Edmonds, WA · Skilled Nursing Facility in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.