4755 SOUTH 48TH STREET OPERATIONS LLC – NPI #1649654617
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

4755 SOUTH 48TH STREET OPERATIONS LLC is a skilled nursing facility (SNF) located in TACOMA, WA. NPPES has assigned the NPI number 1649654617 to 4755 SOUTH 48TH STREET OPERATIONS LLC on July 19, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was last updated on Mar 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 4755 SOUTH 48TH STREET OPERATIONS LLC below.

NPI Profile for
4755 SOUTH 48TH STREET OPERATIONS LLC

NPI Number
1649654617
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
4755 SOUTH 48TH STREET OPERATIONS LLC
Primary location
4755 S 48TH ST
TACOMA, WA 98409-1919
Phone: (253) 475-6600 Fax: (253) 475-6611
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AVROHOM TRESS
OFFICER
Phone: (760) 445-0699
Updated
Certification Date
Mar 11, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
WA 1531

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.