Provider Demographics
NPI:1922517614
Name:2016 S&S, INC
Entity Type:Organization
Organization Name:2016 S&S, INC
Other - Org Name:WELCOME HOME-OAK HARBOR SENIOR MEMORY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MERI
Authorized Official - Middle Name:
Authorized Official - Last Name:BASONO
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:360-682-5998
Mailing Address - Street 1:235 SW 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-2394
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:235 SW 6TH AVE
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-2394
Practice Address - Country:US
Practice Address - Phone:360-682-5998
Practice Address - Fax:360-248-8888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-25
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2424310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility