Provider Demographics
NPI:1225037096
Name:WASHINGTON CARE SERVICES
Entity Type:Organization
Organization Name:WASHINGTON CARE SERVICES
Other - Org Name:WASHINGTON CENTER FOR COMPREHENSIVE REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-725-2800
Mailing Address - Street 1:2821 S WALDEN ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-6830
Mailing Address - Country:US
Mailing Address - Phone:206-725-2800
Mailing Address - Fax:206-577-6298
Practice Address - Street 1:2821 S WALDEN ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-6830
Practice Address - Country:US
Practice Address - Phone:206-725-2800
Practice Address - Fax:206-577-6298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-14
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANH 706314000000X
WA1394314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA4170601Medicaid
WA4113940Medicaid
WA4113940Medicaid
WA4170601Medicaid