Healthcare Provider Details

I. General information

NPI: 1871884031
Provider Name (Legal Business Name): THC-SEATTLE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2011
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1334 TERRY AVE
SEATTLE WA
98101
US

IV. Provider business mailing address

680 SOUTH FOURTH STREET LICENSE AND CERTIFICATION
LOUSIVILLE KY
40202-2407
US

V. Phone/Fax

Practice location:
  • Phone: 206-682-2661
  • Fax:
Mailing address:
  • Phone:
  • Fax: 502-212-8481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: JOHNETTA TRAYLOR
Title or Position: DIRECTOR
Credential:
Phone: 502-596-6063