Provider Demographics
NPI:1376531939
Name:HYGATE PROPERTIES INC.
Entity Type:Organization
Organization Name:HYGATE PROPERTIES INC.
Other - Org Name:LANDMARK CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:RN,CNHA
Authorized Official - Phone:509-248-4102
Mailing Address - Street 1:710 N 39TH AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-6342
Mailing Address - Country:US
Mailing Address - Phone:509-248-4102
Mailing Address - Fax:509-248-6391
Practice Address - Street 1:710 N 39TH AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-6342
Practice Address - Country:US
Practice Address - Phone:509-248-4102
Practice Address - Fax:509-248-6391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-07
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1372314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA4113726Medicaid
WA505086Medicare ID - Type UnspecifiedPROVIDER NUMBER