Healthcare Provider Details

I. General information

NPI: 1801887641
Provider Name (Legal Business Name): PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1630 43RD AVE E
SEATTLE WA
98112-6210
US

IV. Provider business mailing address

1630 43RD AVE E
SEATTLE WA
98112-6210
US

V. Phone/Fax

Practice location:
  • Phone: 206-329-0770
  • Fax: 206-329-0227
Mailing address:
  • Phone: 206-329-0770
  • Fax: 206-329-0227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberBH 183
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number489
License Number StateWA

VIII. Authorized Official

Name: MS. JANET E NAHLIN
Title or Position: DIRECTOR OF NURSING SERVICES
Credential: RN
Phone: 206-329-0770