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NPI 1891817342ActiveOrganization· Skilled Nursing Facility· Tacoma, WA

Skilled Nursing Facility in Tacoma, Washington, registered in NPPES in April 2007. The authorized official on file is David Hoffman, Vice President Of Finance. Enrolled in Medicare as part a provider - skilled nursing facility.

Overview

NPI1891817342
StatusActive
Entity typeOrganization
NPI issuedApr 4, 2007
Last updated in NPPESNov 6, 2024
Certified by providerNov 6, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000XNH601WA
Assisted Living Facility310400000XBH1187WA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part A Provider - Skilled Nursing Facility (WA)

Medicare sources and data years

Other Skilled Nursing Facility providers in Tacoma

All Skilled Nursing Facility providers in Washington →