SANTE' MAMA LLC (NPI# 1295042299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295042299 |
| Entity Type | Organization |
| Organization Name | SANTE' MAMA LLC |
| Practice Address |
113 Ne 92nd Ave Vancouver WA 98664-2541 |
| Practice Telephone | 3602532229 |
| Practice Fax Number | 3609440606 |
| Mailing Telephone | 3602532229 |
| Mailing Fax Number | 3609440606 |
| Enumeration Date | 2010-09-12 |
| Last Update Date | 2014-01-08 |
| Authorized Official Name | MRS. ERICA MATTESON (OFFICE MANAGER) |
| Authorized Official Telephone | 3602532229 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2009709 | 05 |
| Street Address |
113 NE 92ND AVE |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013230309 | Jeane Gump | Massage Therapist | 113 Ne 92nd Ave, Vancouver, WA 98664-2541 | 2010-03-01 |
| 1093094856 | Kelly S Dean | Physical Therapist | 113 Ne 92nd Ave, Vancouver, WA 98664-2541 | 2011-08-11 |
| 1700192663 | Erica Lynn Matteson | Doula | 113 Ne 92nd Ave, Vancouver, WA 98664-2541 | 2010-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675451 | Zoia Healthcare | Durable Medical Equipment & Medical Supplies | 12308 Ne 56th St Ste 1611, Vancouver, WA 98682-6495 | 2020-09-24 |
| 1932754140 | Vivakeso LLC | Durable Medical Equipment & Medical Supplies | 2718 Ne 152nd Ave, Vancouver, WA 98684-7887 | 2019-08-05 |
| 1417519299 | Amerita, Inc. | Durable Medical Equipment & Medical Supplies | 18110 Se 34th St Ste 290, Vancouver, WA 98683-9440 | 2019-07-02 |
| 1023530508 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 200 Ne Mother Joseph Pl Ste 305, Vancouver, WA 98664-3296 | 2017-07-17 |
| 1306368915 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 2121 Ne 139th St Ste 300, Vancouver, WA 98686-2316 | 2017-07-14 |
| 1093237612 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 3101 Se 192nd Ave Ste 103, Vancouver, WA 98683-1443 | 2017-07-14 |
| 1023560141 | Disabled Veterans Hawaii LLC | Durable Medical Equipment & Medical Supplies | 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 | 2016-10-25 |
| 1770930323 | Sleep Technologies Ltd | Durable Medical Equipment & Medical Supplies | 9300 Ne Vancouver Mall Dr Ste 203, Vancouver, WA 98662-8206 | 2016-05-24 |
| 1659759504 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1601 E Fourth Plain Blvd Ste B260, Vancouver, WA 98661-3713 | 2015-05-12 |
| 1346639382 | Orion Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 3002 Ne 112th Ave Ste F, Vancouver, WA 98682-7262 | 2015-01-14 |
| Find all providers in VANCOUVER | ||||
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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.