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Contact Information

STATE OF WASHINGTON, WASHINGTON VETERANS HOMES
1141 BEACH DR E
PORT ORCHARD, WA98366-4937
 Phone: 360-895-4700
 Fax: 360-895-4453
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Assisted Living Facility

310400000X
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for STATE OF WASHINGTON, WASHINGTON VETERANS HOMES

NPI # 1538159702
LBN Legal business name STATE OF WASHINGTON, WASHINGTON VETERANS HOMES
Authorized official TERRANCE WESTHOFF - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/27/2005
Last updated 10/23/2023 - About 3 years ago
Identifiers
WA License # N/A
WA License # NOT APPLICABLE
WA Medicaid 4000006
WA Medicaid 7102411
Other 50-5517 MEDICARE A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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