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Contact Information

BROADVIEW DEVELOPMENT ASSOCIATES II
12505 GREENWOOD AVE N
SEATTLE, WA98133
 Phone: 206-368-3797
 Fax: 206-368-3756
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for BROADVIEW DEVELOPMENT ASSOCIATES II

NPI Number 1568429900
LBN Legal business name BROADVIEW DEVELOPMENT ASSOCIATES II
Authorized official TARA TRAVERS - (DIRECTOR OF CLINICAL SERVICES ADMIN)
Entity Organization
Organization subpart 1 No
Enumeration date 04/28/2006
Last updated 05/28/2015 - About 11 years ago
Identifiers
WA License # 1065
WA License # 945
WA Medicaid 4110656
Other CU2614 REGENCE BLUE SHIELD
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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