RICHMOND BEACH REHAB LLC
NPI 1316932114
Skilled Nursing Facility in Shoreline, WA

Active since September 18, 2005CLIA 50D0903964 · Waiver
19235 15TH AVE NW, SHORELINE, WA 98177(206) 546-2666(206) 542-1164 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2025, Jun 19, 2017 (2 updates tracked since 2017).

About Richmond Beach Rehab Llc NPPES

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

RICHMOND BEACH REHAB LLC (NPI 1316932114) is a healthcare organization registered as a skilled nursing facility in Shoreline, Washington and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Mary E. Kofstad, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316932114
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameRICHMOND BEACH REHAB LLC
Location Address19235 15TH AVE NWShoreline, WA 98177-2725
Mailing Address19235 15th Ave NwShoreline, WA 98177-2725 · (206) 546-2666 · Fax (206) 542-1164
Fax(206) 542-1164
Organization SubpartNo
Authorized OfficialMary E. KofstadCeo · (971) 224-2033
Enumeration DateSeptember 18, 2005
Last NPPES UpdateJuly 15, 20252 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
NPI 1316932114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
19235 15TH AVE NW, Shoreline, WA 98177

Other Identifiers 1

Medicaid4113460WA

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D0903964

Richmond Beach Rehab LLC · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D0903964
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 2, 1995
Certificate Expiration DateApril 4, 2028
Laboratory DirectorLeena Deppen
Laboratory Phone(206) 546-2666
Laboratory LocationRichmond Beach Rehab LLC19235 15th Ave NW, Seattle, WA 98177
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
19235 15TH AVE NW
SHORELINE, WA 98177
Physical Therapist
19235 15TH AVE NW
SHORELINE, WA 98177
Nurse Practitioner (Family)
19235 15TH AVE NW
SHORELINE, WA 98177
Physical Therapist
19235 15TH AVE NW
SHORELINE, WA 98177
Physical Therapist
19235 15TH AVE NW
SHORELINE, WA 98177
Occupational Therapy Assistant
19235 15TH AVE NW
SHORELINE, WA 98177
Physical Therapist
19235 15TH AVE NW
SHORELINE, WA 98177
Physical Therapy Assistant
19235 15TH AVE NW
SHORELINE, WA 98177

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 Richmond Beach Rehab LLC's NPI number?

The NPI number for Richmond Beach Rehab LLC is 1316932114. It was assigned to this organization in the NPPES registry on September 18, 2005.

Where is Richmond Beach Rehab LLC located?

Richmond Beach Rehab LLC is located at 19235 15th Ave NW, Shoreline, WA 98177. The listed phone number is (206) 546-2666.

What is Richmond Beach Rehab LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Richmond Beach Rehab LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0903964) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Richmond Beach Rehab LLC accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Richmond Beach Rehab LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richmond Beach Rehab LLC was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.