Provider Demographics
NPI:1518150663
Name:LCS-WESTMINSTER PARTNERSHIP III LLP
Entity Type:Organization
Organization Name:LCS-WESTMINSTER PARTNERSHIP III LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:D
Authorized Official - Last Name:MERCURIS PENDROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-875-4500
Mailing Address - Street 1:100 TIMBER RIDGE WAY NW
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-8890
Mailing Address - Country:US
Mailing Address - Phone:425-427-5200
Mailing Address - Fax:425-427-5207
Practice Address - Street 1:100 TIMBER RIDGE WAY NW
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-8890
Practice Address - Country:US
Practice Address - Phone:425-427-5200
Practice Address - Fax:425-427-5207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1413314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA505518Medicare Oscar/Certification