Revera (Delaware) LLC
Skilled Nursing Facility in Montesano, Washington
1245228444- Practice location
- 800 N. Medcalf, Montesano, WA 98563-1318
- Phone
- 360-249-2273
- Fax
- 360-249-2363
- Last updated
- May 20, 2011
Revera (Delaware) LLC is a healthcare organization based in Montesano, WA. Revera (Delaware) LLC practices in Montesano, WA. The NPI Number for Revera (Delaware) LLC is 1245228444 and holds a License No. 050005680 (WA). The current practice location address for Revera (Delaware) LLC is 800 N. Medcalf, Montesano, WA 98563-1318 and can be reached out via phone at 360-249-2273 and via fax at 360-249-2363.
Provider Profile Details
- NPI Number
- 1245228444
- Provider Name
- Revera (Delaware) LLC
- Provider Entity Type
- Organization
- Address
- 800 N. Medcalf, Montesano, WA 98563-1318
- Phone Number
- 360-249-2273
- Fax Number
- 360-249-2363
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Carole M Scillia · LLC Manager · 203-608-6100
- Other Names
- Montesano Health And Rehabilitation Center (Doing Business As)
- Provider Enumeration Date
- October 11, 2005
- Last Update Date
- May 20, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 800 N. Medcalf
Montesano, WA 98563-1318 - City
- Montesano
- State
- Washington
- Zip
- 98563-1318
- Phone Number
- 360-249-2273
- Fax Number
- 360-249-2363
Provider Business Mailing Address Details
- Address
- 538 Preston Ave
Suite 270
Meriden, CT 06450-4851 - City
- Meriden
- State
- CT
- Zip
- 06450-4851
- Phone Number
- 203-608-6100
- Fax Number
- 203-639-3574
License Information
- License Number (1)
- 050005680
- License State (1)
- WA
- Taxonomy (1)
- Skilled Nursing Facility · 314000000X
- License Number (2)
- 1369
- License State (2)
- WA
- Taxonomy (2)
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Skilled Nursing Facility providers near Montesano, WA
View all Skilled Nursing Facility providers in Montesano →Frequently Asked Questions
What is the NPI number of Revera (Delaware) LLC?
The NPI number of Revera (Delaware) LLC is 1245228444. It was assigned on October 11, 2005 and is currently active in the NPPES registry.
What is the specialty of Revera (Delaware) LLC?
Revera (Delaware) LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in WA under license number 050005680.
Where does Revera (Delaware) LLC practice?
The practice location is 800 N. Medcalf, Montesano, WA 98563-1318. The office can be reached at 360-249-2273 (phone) or 360-249-2363 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245228444 directly on the NPPES registry website.