INDEPENDENCE REHAB LLC
NPI 1588043020
Skilled Nursing Facility in Bellevue, WA

Active since May 28, 2015
919 109TH AVE NE, BELLEVUE, WA 98004(425) 233-8766 Get Directions Write a Review

NPPES record last updated: May 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Independence Rehab Llc NPPES

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

INDEPENDENCE REHAB LLC (NPI 1588043020) is a healthcare organization registered as a skilled nursing facility in Bellevue, Washington and active in the NPI registry since May 2015. The organization lists Chad Fullmer, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1588043020
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameINDEPENDENCE REHAB LLC
Location Address919 109TH AVE NEBellevue, WA 98004-4485
Mailing Address12123 Ne 172nd Pl, M201Bothell, WA 98011-6409
Organization SubpartNo
Authorized OfficialChad FullmerSenior Vice President · (801) 426-4905
Enumeration DateMay 28, 2015
NPI 1588043020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in WA · LL60391131
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.
919 109TH AVE NE, Bellevue, WA 98004

Other Providers at the Same Location NPPES 11

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

Skilled Nursing Facility
919 109TH AVE NE
BELLEVUE, WA 98004
Skilled Nursing Facility
919 109TH AVE NE
BELLEVUE, WA 98004
Skilled Nursing Facility
919 109TH AVE NE
BELLEVUE, WA 98004
Occupational Therapist
919 109TH AVE NE
BELLEVUE, WA 98004
Internal Medicine (Pulmonary Disease)
919 109TH AVE NE
BELLEVUE, WA 98004
Occupational Therapist
919 109TH AVE NE
BELLEVUE, WA 98004
Speech-Language Pathologist
919 109TH AVE NE
BELLEVUE, WA 98004
Physical Therapist
919 109TH AVE NE
BELLEVUE, WA 98004

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 Independence Rehab LLC's NPI number?

The NPI number for Independence Rehab LLC is 1588043020. It was assigned to this organization in the NPPES registry on May 28, 2015.

Where is Independence Rehab LLC located?

Independence Rehab LLC is located at 919 109th Ave NE, Bellevue, WA 98004. The listed phone number is (425) 233-8766.

What is Independence Rehab LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Independence Rehab LLC was last updated on May 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.