LIFE CARE AT HOME OF WASHINGTON, INC (NPI# 1063418093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063418093 |
| Entity Type | Organization |
| Organization Name | LIFE CARE AT HOME OF WASHINGTON, INC |
| Practice Address |
505 Cedar Ave B-1 Marysville WA 98270-4561 |
| Mailing Address |
3001 Keith St Nw P O Box 3480 Cleveland TN 37312-3713 |
| Practice Telephone | 3606591487 |
| Practice Fax Number | 3606590726 |
| Mailing Telephone | 4234735256 |
| Mailing Fax Number | 4233398356 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2013-01-29 |
| Authorized Official Name | PAM RAU (VP OF FINANACE) |
| Authorized Official Telephone | 4234735280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | IS364 | WA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9044900 | 05 | |
| WA | PREMERA BLUE CROSS | 1116 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | LIFE CARE AT HOME OF WASHINGTON, INC. | Joan E Thurmond, 3570 Keith St Nw, Cleveland, TN 37312 |
| Street Address |
505 CEDAR AVE B-1 |
| City | MARYSVILLE |
| State | WA |
| Zip Code | 98270-4561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194125062 | Julia Mcgary Dds Inc Ps | Durable Medical Equipment & Medical Supplies | 505 Cedar Ave, Ste C-1, Marysville, WA 98270-4561 | 2014-08-28 |
| 1437496239 | Neda Modaresi | Dentist | 505 Cedar Ave, Marysville, WA 98270-4561 | 2013-01-14 |
| 1508906157 | Brian Edward Tetreault | Specialist | 505 Cedar Ave, Suite C3, Marysville, WA 98270-4561 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706631 | Amy Jean Tuengel | Massage Therapist | 4731 61st Ne, Marysville, WA 98270 | 2020-06-26 |
| 1821569534 | Andrew M Reid | Physical Therapist | Marysville Physical Therapy, 919 State Avenue Suite 101, Marysville, WA 98270 | 2018-12-07 |
| 1861989162 | Jenna Celine Schmidt | Student in an Organized Health Care Education/Training Program | Seamar Marysville Family Medicine Residency Program, 9710 State Ave, Marysville, WA 98270 | 2018-04-23 |
| 1497103162 | Kyoung Craddock | Registered Nurse | 5722 65th St Ne, Marysville, WA 98270 | 2016-06-02 |
| 1235553348 | Marysville School District | Speech-Language Pathologist | 4220 80th Street Ne, Marysville School District, Marysville, WA 98270 | 2014-02-10 |
| 1386085694 | Malgorzata Cassidy | Counselor | 4308 76th. St. Ne, Marysville, WA 98270 | 2013-07-15 |
| 1972852374 | Suzanne Leboeuf | Counselor | 1227 2nd St., Marysville, WA 98270 | 2012-08-31 |
| 1508121161 | Tricia Nicole Davis | Pharmacy Technician | 6602 74th St Ne, Marysville, WA 98270 | 2012-07-10 |
| 1962774216 | Lynae Marie Swinheart | Community/Behavioral Health | 6418 66th Pl Ne, Marysville, WA 98270 | 2012-02-02 |
| 1598042459 | Jamie Rae Isaacson | Speech-Language Pathologist | 1820 Grove St., Marysville, WA 98270 | 2011-11-07 |
| Find all providers in zip 98270 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219923 | Brianna Mack | Home Health | 470 Allenby Dr, Marysville, OH 43040-8472 | 2020-03-09 |
| 1720404288 | Freedom Home Health and Hospice Care Services Inc. | Home Health | 519 D St Ste A, Marysville, CA 95901-5525 | 2014-03-07 |
| 1275607772 | Memorial Hospital of Union County | Home Health | 171 Morey Dr, Marysville, OH 43040-1644 | 2006-11-17 |
| 1285684142 | Above and Beyond Home Health Care | Home Health | 404 Carolina St, Marysville, KS 66508-1648 | 2006-05-11 |
| 1689004186 | Fhhc, LLC | Home Health | 825 9th St, Suite B, Marysville, CA 95901-5265 | 2013-11-19 |
| 1730528951 | Zoe Home Healthcare | Home Health | 14024 Beecher Gamble Rd, Marysville, OH 43040-9531 | 2013-06-20 |
| 1053657312 | Zoua Xiong | Home Health | 110 E 11th St, Marysville, CA 95901-5005 | 2012-12-13 |
| 1952594152 | Custom Staffing Marysville Inc | Home Health | 232 N Main St, Suite G, Marysville, OH 43040 | 2007-08-21 |
| 1568484848 | Community Memorial Healthcare, Inc. | Home Health | 805 Broadway, Marysville, KS 66508-1802 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433481 | Malaika Home Care LLC | Home Health | 10518 N Russett Dr, Spokane, WA 99208-6729 | 2020-09-30 |
| 1619582632 | Flowing Water Venture Inc. | Home Health | 23453 16th Ave S Apt A304, Des Moines, WA 98198-8042 | 2020-09-15 |
| 1477163236 | Pnw Kupuna Care, LLC | Home Health | 203 S 4th Ave, Sequim, WA 98382-3719 | 2020-08-06 |
| 1538778295 | Eden Home Health of Clark County, LLC | Home Health | 4601 Ne 77th Ave Ste 300, Vancouver, WA 98662-6736 | 2020-07-29 |
| 1033736160 | Home Health Seattle LLC | Home Health | 19803 1st Ave S Ste 200, Normandy Park, WA 98148-2410 | 2020-07-06 |
| 1265053920 | Premier Care Services | Home Health | 13555 Ne Bel Red Rd Ste 113, Bellevue, WA 98005-2324 | 2020-05-04 |
| 1861011330 | Samuel Kihiu Njenga | Home Health | 3607 27th St Se, Puyallup, WA 98374-1716 | 2020-04-14 |
| 1972136745 | Tender Angels Home Care | Home Health | 11900 Ne 1st St Bldg G, Bellevue, WA 98005-3046 | 2020-02-19 |
| 1154953628 | Meliorahealthcare Pllc | Home Health | 17539 10th Ave Nw, Shoreline, WA 98177-3804 | 2020-02-12 |
| 1235786781 | Ahhpc, Inc. | Home Health | 907 W Boone Ave Ste B, Spokane, WA 99201-2503 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
| City | MARYSVILLE |
| Zip Code | 98270 |
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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.