Ahc of Bothell LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

AHC OF BOTHELL LLC

Practice address

707 228TH St SW
Bothell, WA 98021-9733

Phone

(425) 481-8500

NPI assigned

Apr 13, 2010

Organization subpart

Yes

Parent organization

ADVANCED HEALTH CARE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Mark Emmett

Title

Cfo

Phone

(253) 670-5700

Specialties & licenses 1

Addresses

Other names 1

• Advanced Health Care of Bothell Doing business as

Part of

Advanced Health Care Corporation

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1982920112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N WHITLEY DR",
            "address_2": "SUITE 1",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836192705",
            "telephone_number": "208-452-6392",
            "fax_number": "208-452-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 228TH ST SW",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219733",
            "telephone_number": "425-481-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHC OF BOTHELL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED HEALTH CARE CORPORATION",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "EMMETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "253-670-5700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Health Care of Bothell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Agisheva, ND
• Danielle Agoh
• Anushka Agrawal
• Brenda Aguilar Banda
• Allison Ferrol Aguilar, LMP
• Nisha Ahir
• Umema Ahmed, OD
• Dona Ahrens, P.A.-C
• Hadil Al-Tamimi
• Elizabeth Albrecht

• All providers in Bothell, WA
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.