400 29th Street Northeast Operations LLC
NPI 1790160604ActiveOrganization· Skilled Nursing Facility· Puyallup, WA
Skilled Nursing Facility in Puyallup, Washington, registered in NPPES in July 2015. The authorized official on file is Michael T. Berg, Assistant Secretary. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1790160604 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 22, 2015 |
| Last updated in NPPES | Jul 22, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 0000 | 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) | Enrolled Part A Provider - Skilled Nursing Facility (WA) |
|---|
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