SHERWOOD ADULT FAMILY HOME, LLC (NPI# 1255607198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255607198 |
| Entity Type | Organization |
| Organization Name | SHERWOOD ADULT FAMILY HOME, LLC |
| Practice Address |
11017 Ne Sherwood Drive Vancouver WA 98686 |
| Practice Telephone | 3607188543 |
| Practice Fax Number | 3607188645 |
| Mailing Telephone | 3607188543 |
| Mailing Fax Number | 3607188645 |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2012-03-26 |
| Authorized Official Name | MRS. LAURIE M DAVIS (OWNER, OPERATOR) |
| Authorized Official Telephone | 3607188543 |
| Authorized Official Credential | RN00069341 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 751565 | WA | Nursing & Custodial Care Facilities |
| Street Address |
11017 NE SHERWOOD DRIVE |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
| Find all providers in zip 98686 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215380803 | Ryan Owens | Custodial Care Facility | 120 Se Everett Mall Way, Apt 1217, Everett, WA 98208-3204 | 2016-07-19 |
| 1356795652 | William L. Whiteman | Custodial Care Facility | 7811 144th Street Ct E, C/o Jennifer Brantley, Puyallup, WA 98375-8404 | 2016-04-22 |
| 1528239753 | Miranda Care Adult Family Home | Custodial Care Facility | 601 N 39th St, Yakima, WA 98901-1222 | 2008-03-16 |
| 1699828103 | P.c. Jail Clinic | Custodial Care Facility | 910 Tacoma Ave S, Tacoma, WA 98402-2104 | 2007-01-19 |
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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.