Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Independence Rehab LLC

Organization Skilled Nursing Facility · NPI 1588043020

Independence Rehab LLC is a Skilled Nursing Facility in Bellevue, Washington. Licensed in Washington. Registered with an NPI since 2015.

Licensed in
WA
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

919 109th Ave NE
Bellevue, WA 98004-4485
Phone: (425) 233-8766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence LL60391131 (WA)

Record details

NPI number1588043020
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chad Fullmer — Senior Vice President · (801) 426-4905
NPI enumeratedMay 28, 2015
Last updated in NPPESMay 28, 2015
Mailing address12123 Ne 172nd Pl, M201, Bothell, WA 98011-6409

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