Bailey-Boushay House – Skilled Nursing Facility, NPI 1720073604

Bailey-Boushay House is a healthcare provider. based in Seattle, Washington. specializing in Skilled Nursing Facility. The organization holds a License No. NH-1106 (WA). The NPI Number for Bailey-Boushay House is 1720073604

Main info

Organization
Name
Bailey-Boushay House
NPI
1720073604
Phone
(206) 322-5300
Address
2720 E MADISON ST
Authorized Official
MR. BRIAN KNOWLES EXECUTIVE DIRECTOR
Enumeration Date
15 September 2005
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Bailey-Boushay House

  • Bailey-Boushay House, 2720, East Madison Street, Washington Park, Madison Park, Seattle, King County, Washington, 98112, United States

    SEATTLE, WA 981124739

    Phone: (206) 322-5300

    Fax: (206) 720-2299

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-03-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20050309000662OSkilled Nursing FacilityWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98112)

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Reviews

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Frequently asked questions

Is Bailey-Boushay House listed with a National Provider Identifier?
Yes — Bailey-Boushay House has NPI 1720073604 on file in the registry.
Would Bailey-Boushay House appear as active to a payer?
You can treat Bailey-Boushay House as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for Bailey-Boushay House?
At a glance, Bailey-Boushay House is tied to Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Bailey-Boushay House?
Travel planning: use Seattle, Washington as the reference point for Bailey-Boushay House, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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