Revera (Delaware) LLC
NPI 1417959875ActiveOrganization· Skilled Nursing Facility· Puyallup, WA
Skilled Nursing Facility in Puyallup, Washington, registered in NPPES in August 2005. The authorized official on file is Carole M. Scillia, Llc Manager.
Overview
| NPI | 1417959875 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 15, 2005 |
| Last updated in NPPES | May 19, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 1257 | WA |
| Skilled Nursing Facility | 314000000X | NH1257 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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