Provider Demographics
NPI:1376531996
Name:SAINT ANNE CORPORATION
Entity Type:Organization
Organization Name:SAINT ANNE CORPORATION
Other - Org Name:SAINT ANNE NURSING AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:PAULSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-489-3416
Mailing Address - Street 1:3540 NE 110TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-5761
Mailing Address - Country:US
Mailing Address - Phone:206-363-7733
Mailing Address - Fax:206-363-1876
Practice Address - Street 1:3540 NE 110TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-5761
Practice Address - Country:US
Practice Address - Phone:206-363-7733
Practice Address - Fax:206-363-1876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANH 1323314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA41-132-39Medicaid
WA50-5417BMedicare ID - Type UnspecifiedMEDICARE PROVIDER NO.