# CRISTA MINISTRIES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CRISTA MINISTRIES
- **Other names:** CRISTWOOD NURSING & REHABILITATION CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669606885
- **Legal business name:** CRISTA MINISTRIES
- **Authorized official:** JEFFERSON HENSON (EXECUTIVE DIRECTOR & ADMINISTRATOR)
- **Authorized official phone:** (206) 546-7567

## Contact information

- **Practice address:** 19301 KINGS GARDEN DR N, SEATTLE, WA 98133-3800
- **Practice address phone:** (206) 546-7400
- **Practice address fax:** (206) 546-7221
- **Mailing address:** 19303 FREMONT AVE N, SEATTLE, WA 98133-3800
- **Mailing address phone:** (206) 546-7400
- **Mailing address fax:** (206) 546-7447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 274 | WA | Yes |

## Other

- **Enumeration date:** 05/04/2009
- **Last updated:** 07/06/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4127403 | — | WA |
| 01 | — | 505069 | MEDICARE PTAN | WA |