# FOSS HOME & VILLAGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Foss Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851396766
- **Authorized official:** MR. DAVID HOFFMAN (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (253) 756-7565

## Contact information

- **Practice address:** 13023 GREENWOOD AVE N, SEATTLE, WA 98133-7308
- **Practice address phone:** (206) 364-1300
- **Practice address fax:** (206) 367-3057
- **Mailing address:** 13023 GREENWOOD AVE N, SEATTLE, WA 98133-7308
- **Mailing address phone:** (206) 364-1300
- **Mailing address fax:** (206) 367-3057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | BH1065 | WA | — |
| 311500000X | Alzheimer Center (Dementia Center) | NH417 | WA | — |
| 311Z00000X | Custodial Care Facility | NH417 | WA | — |
| 314000000X | Skilled Nursing Facility | NH417 | WA | Yes |

## Other

- **Enumeration date:** 06/16/2005
- **Last updated:** 11/14/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4141701 | — | WA |