OrganizationActive
400 29th Street Northeast Operations LLC
NPI 1790160604 · Skilled Nursing Facility · Puyallup, WA
Provider details
- NPI number
- 1790160604
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Berg, Assistant Secretary(505) 468-4742
- License
- 0000 (WA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
400 29th St Ne
Puyallup, WA 98372-6774
Phone: (253) 840-4400
Fax: (253) 840-4411
Approximate (ZIP-level) locationGet directions
Mailing address
400 29th St Ne
Puyallup, WA 98372-6774
Other names (DBA / former)
- Doing business as
- Linden Grove Health Care Center
Registry dates
- Enumerated
- 2015-07-22
- Last updated
- 2015-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.