# VASHON ISLAND COMMUNITY CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DBA: Vashon Community Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205983517
- **Authorized official:** MS. JANELLE ELIZABETH ANSELL NHA00002425 (ADMINISTRATOR)
- **Authorized official phone:** (206) 567-4421

## Contact information

- **Practice address:** 15333 VASHON HWY SW, VASHON ISLAND, WA 98070-3831
- **Practice address phone:** (206) 567-4421
- **Practice address fax:** (206) 567-5052
- **Mailing address:** 15333 VASHON HWY SW, VASHON ISLAND, WA 98070-3831
- **Mailing address phone:** (206) 567-4421
- **Mailing address fax:** (206) 567-5052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1331 | WA | Yes |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 04/04/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 114267 | DSHS-COPES BOARDING HOME\# | WA |
| 05 | — | 4113312 | — | WA |
| 01 | — | 993197 | DSHS-COPES ADULT DAY PROG | WA |