OrganizationActive
Independence Rehab LLC
NPI 1588043020 · Skilled Nursing Facility · Bellevue, WA
Independence Rehab LLC is a Skilled Nursing Facility organization in Bellevue, WA (NPI 1588043020).
Provider details
- NPI number
- 1588043020
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Chad Fullmer, Senior Vice President(801) 426-4905
- License
- LL60391131 (WA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
919 109th Ave Ne
Bellevue, WA 98004-4485
Phone: (425) 233-8766
Street-level locationGet directions
Mailing address
12123 Ne 172nd Pl
Bothell, WA 98011-6409
Registry dates
- Enumerated
- 2015-05-28
- Last updated
- 2015-05-28
Frequently asked questions
- What is Independence Rehab LLC's NPI number?
- Independence Rehab LLC's National Provider Identifier (NPI) is 1588043020, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Independence Rehab LLC?
- Independence Rehab LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Independence Rehab LLC located?
- Independence Rehab LLC's practice location on file with NPPES is 919 109th Ave Ne, Bellevue, WA 98004-4485.
- What is Independence Rehab LLC's phone number?
- The practice phone number listed in the NPPES registry for Independence Rehab LLC is (425) 233-8766.
- Who is the authorized official for Independence Rehab LLC?
- The authorized official listed on Independence Rehab LLC's NPPES record is Chad Fullmer, Senior Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Independence Rehab LLC's NPI active?
- Yes — Independence Rehab LLC's NPI (1588043020) is active in the NPPES registry as of the last update on 2015-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.