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Active NPI 1174131999 Organization (Entity Type 2)

Longhouse Bothell Llc

Assisted Living Facility • Bothell, WA

About Longhouse Bothell Llc NPI 1174131999 Summary

Longhouse Bothell Llc is a verified healthcare organization specializing in Assisted Living Facility operating in Bothell, WA. Located at 16605 122ND PL NE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1174131999.

Administrative operations and authorized compliance are overseen by Matthew Long (Owner/Director).

Facility Location & Contact Primary Location

Facility Address

16605 122nd Pl Ne

Bothell, WA 980117114

Telephone 4253625529

Authorized Official Information

Authorized Contact Name

Matthew Long

Title / Role

Owner/director

Official Telephone

2063074775

Facility Classifications & Specialties

Assisted Living Facility Primary Taxonomy

NUCC Taxonomy Code: 310400000X

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.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active July 17, 2020

NPI status registered as active in NPPES database

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Updated Practice Location July 17, 2020

Registered at 16605 122ND PL NE, BOTHELL, WA 980117114 (Tel: 4253625529)

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Updated Business Mailing Address July 17, 2020

Registered at 16605 122ND PL NE, BOTHELL, WA 980117114 (Tel: 4253625529)

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Organization / Clinic Name Updated July 17, 2020

Operating as LONGHOUSE BOTHELL LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2020

Assisted Living Facility

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Initial NPI Registration & Enumeration July 17, 2020

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1174131999

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: July 17, 2020

Last Update: July 17, 2020

Update or Correct Listing

Mailing Address

16605 122nd Pl Ne

Bothell, WA 980117114

Phone: 4253625529

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.