MEDICARE: ASHLEY HOUSE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3140N1450X	Pediatric Skilled Nursing Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457575151
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASHLEY HOUSE

Provider Business Mailing Address
First Line	:	33811 9TH AVE S
Second Line	:
City	:	FEDERAL WAY
State	:	WA
Zip	:	98003-6707
Country	:	US
Telephone Number	:	253-533-9050
Fax Number	:	253-517-7706

Provider Business Practice Location Address
First Line	:	1810 BROWNS POINT BLVD NE
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98422-2372
Country	:	US
Telephone Number	:	253-952-0503
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JASON OWENS
Credential	:
Telephone Number	:	253-533-9050

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	02/18/2026

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Directions to “ASHLEY HOUSE ” Practice Location

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