Everett Manor, LLC

Assisted Living Facility · Everett, WA

Organization Active NPI

NPI number 1992554778

Practice location

2520 Madison St
Everett, WA 98203-4868
Phone
(425) 353-4040

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NPI record

NPI
1992554778
Entity type
Organization (Type 2)
Enumeration date
May 15, 2024
Last updated
May 15, 2024
Certified
May 15, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Assisted Living Facility Primary 310400000X — —

Mailing address

422 S Mansfield Ave
Los Angeles, CA 90036-3516

Authorized official

Name
Shmuel D Stock
Title
Managing Member
Phone
(562) 843-4843

Other names

  • Madison Villa

About Everett Manor, LLC

Everett Manor, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Assisted Living Facility (code 310400000X). The practice location is 2520 Madison St, Everett, WA 98203-4868. The NPI number 1992554778 was assigned on May 15, 2024 and the record was last updated on May 15, 2024.

The authorized official for this organization is Shmuel D Stock, Managing Member.

Frequently asked questions

What is the NPI number of Everett Manor, LLC?

The NPI number is 1992554778.

What is the phone number of Everett Manor, LLC?

The phone number listed for the practice location is (425) 353-4040.

Where is Everett Manor, LLC located?

2520 Madison St, Everett, WA 98203-4868.

What is the taxonomy code for Everett Manor, LLC?

The primary taxonomy code is 310400000X – Assisted Living Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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