# REGENCY COUPEVILLE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Regency Coupeville Rehabilitation and Nursing Center, Regency Coupeville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508864935
- **Authorized official:** ALI WILLIAMS (CORPORATE PARALEGAL)
- **Authorized official phone:** (425) 623-1466

## Contact information

- **Practice address:** 311 NE 3RD ST, COUPEVILLE, WA 98239-3427
- **Practice address phone:** (360) 678-2273
- **Practice address fax:** (360) 678-0510
- **Mailing address:** 311 NE 3RD ST, COUPEVILLE, WA 98239-3427
- **Mailing address phone:** (360) 678-2273
- **Mailing address fax:** (360) 678-0510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/10/2005
- **Last updated:** 02/08/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 604622050 | UBI NUMBER | WA |