1. Home
  2. Directory
  3. Washington
  4. Bellevue
  5. Nursing Facility Intermediate Care Facility
  6. NPI Profile

KELSEY PARK A.F.H.
NPI 1215157623
Nursing Facility/Intermediate Care Facility in Bellevue, WA

Active since April 26, 2007
12649 SE 4TH PL, BELLEVUE, WA 98005(425) 453-0173(425) 453-0969 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelsey Park A.f.h. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELSEY PARK A.F.H. (NPI 1215157623) is a healthcare organization registered as a nursing facility/intermediate care facility in Bellevue, Washington and active in the NPI registry since April 2007. The organization lists Lucy Muresan, General Manager, as its authorized official.

NPPES Registry Identity

NPI1215157623
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameKELSEY PARK A.F.H.
Location Address12649 SE 4TH PLBellevue, WA 98005-3507
Mailing Address12649 S.e 4th PlaceBellevue, WA 98005-3507 · (425) 453-0173 · Fax (425) 453-0969
Phone(425) 453-0173
Fax(425) 453-0969
Organization SubpartNo
Authorized OfficialLucy MuresanGeneral Manager · (425) 453-0173
Enumeration DateApril 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1215157623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in WA · 36100
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
12649 SE 4TH PL, Bellevue, WA 98005
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelsey Park A.F.H.'s NPI number?

The NPI number for Kelsey Park A.F.H. is 1215157623. It was assigned to this organization in the NPPES registry on April 26, 2007.

Where is Kelsey Park A.F.H. located?

Kelsey Park A.F.H. is located at 12649 SE 4th Pl, Bellevue, WA 98005. The listed phone number is (425) 453-0173.

What is Kelsey Park A.F.H.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Kelsey Park A.F.H. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.