GRAND PARK LLC
NPI 1538569231
Assisted Living Facility in Tacoma, WA

Active since August 29, 2014
242 ST HELENS AVE, TACOMA, WA 98402(253) 473-2842 Get Directions Write a Review

NPPES record last updated: August 29, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility

About GRAND PARK LLC

This page provides the complete NPI Profile along with additional information for Grand Park Llc, a provider established in Tacoma, Washington operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1538569231 assigned on August 2014. The practitioner's primary taxonomy code is 310400000X with license number 1251 (WA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mr. Donald Hansen (President)

NPI
1538569231 Verify this NPI
Provider Name
GRAND PARK LLC
Entity Type
Organization
Location Address
242 ST HELENS AVE TACOMA, WA 98402
Location Phone
(253) 473-2842
Mailing Address
242 ST HELENS AVE TACOMA, WA 98402
Mailing Phone
(253) 627-3833
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-29-2014
Last Update Date
08-29-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
1251
License State
WA
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DONALD HANSEN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(253) 473-2842

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
921736MEDICAID (05)WA 

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Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Occupational Therapist
242 ST HELENS AVE
TACOMA, WA 98402
Physical Therapy Assistant
242 ST HELENS AVE
TACOMA, WA 98402
Speech-Language Pathologist
242 ST HELENS AVE
TACOMA, WA 98402
Occupational Therapy Assistant
242 ST HELENS AVE
TACOMA, WA 98402
Occupational Therapy Assistant
242 ST HELENS AVE
TACOMA, WA 98402
Occupational Therapy Assistant
242 ST HELENS AVE
TACOMA, WA 98402
Physical Therapist
242 ST HELENS AVE
TACOMA, WA 98402
Speech-Language Pathologist
242 ST HELENS AVE
TACOMA, WA 98402
Nurse Practitioner
242 ST HELENS AVE
TACOMA, WA 98402

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538569231, enumerated as an "organization" on August 29, 2014.

The provider is located at 242 ST HELENS AVE TACOMA, WA 98402 and the phone number is (253) 473-2842.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.