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EVERETT MANOR, LLC
NPI 1992554778
Assisted Living Facility in Everett, WA

Active since May 15, 2024
2520 MADISON ST, EVERETT, WA 98203(425) 353-4040 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Everett Manor, Llc NPPES

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

EVERETT MANOR, LLC (NPI 1992554778), doing business as Madison Villa, is a healthcare organization registered as an assisted living facility in Everett, Washington and active in the NPI registry since May 2024. The organization lists Shmuel D Stock, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1992554778
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEVERETT MANOR, LLC
Location Address2520 MADISON STEverett, WA 98203-4868
Mailing Address422 S Mansfield AveLos Angeles, CA 90036-3516
Phone(425) 353-4040
Organization SubpartNo
Authorized OfficialShmuel D StockManaging Member · (562) 843-4843
Enumeration DateMay 15, 2024
NPPES CertifiedMay 15, 2024
✔ NPI 1992554778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
2520 MADISON ST, Everett, WA 98203
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Other Names 1

Doing Business AsMadison Villa

Other Providers at the Same Location NPPES 8

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

SUNRISE VIEW RETIRMENT VILLA
Assisted Living Facility
2520 MADISON ST
EVERETT, WA 98203
Snohomish County (425) 353-4040
SUNRISE VIEW VILLA
Assisted Living Facility
2520 MADISON ST
EVERETT, WA 98203
Snohomish County (253) 253-9300
EVERETT POST ACUTE, LLC
Skilled Nursing Facility
2520 MADISON ST
EVERETT, WA 98203
Snohomish County (425) 353-4040
SUNRISE VIEW CONVALESCENT CENTER LLC
Skilled Nursing Facility
2520 MADISON ST
EVERETT, WA 98203
Snohomish County (425) 353-4040
MRS. JULIN JOSE RN
Registered Nurse (Rehabilitation)
2520 MADISON ST
EVERETT, WA 98203
Snohomish County (425) 356-2123
JOSHUA J HOLCOMB
Occupational Therapist (Physical Rehabilitation)
2520 MADISON ST
EVERETT, WA 98203
Snohomish County (425) 879-3341
SUNRISE CARE HEALTH & REHAB LLC
Skilled Nursing Facility
2520 MADISON ST
EVERETT, WA 98203
Snohomish County (253) 251-9300
ASHLEY SKJORDAHL OTR/L
Occupational Therapist
2520 MADISON ST
EVERETT, WA 98203
Snohomish County (425) 353-4040

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 Everett Manor, LLC's NPI number?

The NPI number for Everett Manor, LLC is 1992554778. It was assigned to this organization in the NPPES registry on May 15, 2024. The provider is doing business as Madison Villa.

Where is Everett Manor, LLC located?

Everett Manor, LLC is located at 2520 Madison St, Everett, WA 98203. The listed phone number is (425) 353-4040.

What is Everett Manor, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Everett Manor, LLC was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.