MR. VLADIMIR KUKSENKO (NPI# 1003362328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003362328 |
| Entity Type | Individual |
| Full Name | MR. VLADIMIR KUKSENKO |
| Practice Address |
1958 Eaton Ave Ferndale WA 98248-9709 |
| Mailing Address |
1958 Eaton Ave Ferndale WA 98248 |
| Practice Telephone | 3603185636 |
| Mailing Telephone | 3603185636 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 60525301 | WA | Residential Treatment Facilities |
| Street Address |
1958 EATON AVE |
| City | FERNDALE |
| State | WA |
| Zip Code | 98248-9709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366050833 | Cascade Connections | In Home Supportive Care | 1354 Pacific Place, Suite 101, Ferndale, WA 98248 | 2020-07-21 |
| 1073135976 | Amrit Kaur | Respiratory Therapist, Certified | 6158 North Star Rd, Ferndale, WA 98248 | 2020-05-13 |
| 1437668563 | Marcie Ann Logan | Registered Nurse | 5661 Eagle Parkway, Apt. 4, Ferndale, WA 98248 | 2017-09-20 |
| 1215468640 | Crystal Dawn Phipps | Pharmacist | 5655 3rd Ave., Ferndale, WA 98248 | 2017-03-27 |
| 1295143568 | Marion L Winisky | Registered Nurse | 2350 Douglas Rd #40, Ferndale, WA 98248 | 2014-07-30 |
| 1225472186 | Loops Flexbrush, LLC | Durable Medical Equipment & Medical Supplies | 7152 Everett Rd, Ferndale, WA 98248 | 2013-04-23 |
| 1982984043 | Anthony Allen Gardiner | Dentist | 2030 Alder St, Ferndale, WA 98248 | 2011-08-22 |
| 1942592696 | Norman Tang | Pharmacist | 2057 Alder Street, Ferndale, WA 98248 | 2011-05-12 |
| 1316178692 | Linh T Vu | Dentist | 2086 Main St, Ferndale, WA 98248 | 2009-08-04 |
| 1770724965 | Michael Alexander Glen | Pharmacist | Haggen Food and Pharmacy, 1815 Main Street, Ferndale, WA 98248 | 2009-03-17 |
| Find all providers in zip 98248 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720448723 | Ferndale Rehab Physical and Occupation Therapy | Residential Treatment Facility, Physical Disabilities | 641 W 9 Mile Rd, Suite D, Ferndale, MI 48220-1779 | 2016-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740642875 | Dee Mcgonigle | Residential Treatment Facility, Physical Disabilities | 4545 Sand Point Way Ne, 608, Seattle, WA 98105-3926 | 2016-03-28 |
| 1376916841 | Todd Medical Foundation | Residential Treatment Facility, Physical Disabilities | 38426 Se 45th Pl, Snoqualmie, WA 98065-9101 | 2015-11-05 |
| 1639587306 | Heal Your World Massage Therapy | Residential Treatment Facility, Physical Disabilities | 2038 Mccloud Creek Rd, Newport, WA 99156-8797 | 2014-07-25 |
| 1578805800 | Ronald Linn Burgner | Residential Treatment Facility, Physical Disabilities | 26221 5th Ave Ne, Arlington, WA 98223-7662 | 2013-03-25 |
| 1396040077 | Shelly Marie Henderson | Residential Treatment Facility, Physical Disabilities | 5612 E Cargill Ln, Colbert, WA 99005-9110 | 2011-01-11 |
| 1699922179 | Annette Hobbs, Inc. | Residential Treatment Facility, Physical Disabilities | 2000 W Barrett St, 201, Seattle, WA 98199-2969 | 2008-08-26 |
| 1609036714 | Best Quality Home Care, LLC | Residential Treatment Facility, Physical Disabilities | 317 S Berry St, Centralia, WA 98531-4103 | 2008-06-12 |
| 1992136980 | Jessie Anna Finn | Residential Treatment Facility, Physical Disabilities | 6021 N Lidgerwood St, Spokane, WA 99208-1125 | 2013-12-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.