NPIMap

Organization Active NPI

Fountains Bellevue SL, LLC

  • Skilled Nursing Facility
  • Bellevue, WA
National Provider Identifier
1992747729
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1380 Issued in WA
Legal business name
FOUNTAINS BELLEVUE SL, LLC
Practice address
919 109TH Ave NE
Bellevue, WA 98004-4485
Phone
(425) 646-9808
Fax
(425) 453-8274
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Authorized official

Name
Greta Fruhling Frazier
Title
Director
Phone
(520) 797-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1380 WA Primary

Addresses

Primary practice location

919 109TH Ave NE
Bellevue, WA 98004-4485

Mailing address

2020 W Rudasill Rd
Attn: Medicare Billing
Tucson, AZ 85704-7800
Phone (520) 797-4000

Other names 1

  • The Springs at Pacific Regent Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunrise of Cuyahoga Falls21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1992747729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W RUDASILL RD",
            "address_2": "ATTN: MEDICARE BILLING",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047800",
            "telephone_number": "520-797-4000",
            "fax_number": "520-797-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 109TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044485",
            "telephone_number": "425-646-9808",
            "fax_number": "425-453-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAINS BELLEVUE SL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "GRETA",
        "authorized_official_middle_name": "FRUHLING",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-797-4000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "1380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Springs at Pacific Regent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.