SUNRISE OF LYNNWOOD NPI 1295997799

NPI Information

NPI: 1295997799
Provider Name: SUNRISE OF LYNNWOOD

Former Legal Business Name: HEARTHSIDE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
18625 60TH AVE W
LYNNWOOD, WA
ZIP 98037
Phone: (425) 771-7700
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SUNRISE OF LYNNWOOD is an assisted living facility in Lynnwood, WA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SUNRISE OF LYNNWOOD NPI is 1295997799. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Hearthside.

The provider's business location address is:

18625 60TH AVE W
LYNNWOOD, WA
ZIP 98037-300
Phone: (425) 771-7700
Fax: (425) 775-2650

The provider's authorized official is Eric Portmoff .
The authorized official title is Executive Director and has the following contact phone number (425) 771-7700.

The enumeration date for this NPI number is 6/26/2008 and was last updated on 6/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	311500000X	Alzheimer Center (Dementia Center)		1681	WASHINGTON	No
2	310400000X	Assisted Living Facility		1681	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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