ANGELA ERDAHL, RN (NPI# 1356730022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356730022 |
Entity Type | Organization |
Organization Name | ANGELA ERDAHL, RN |
Practice Address |
12102 294th St E Graham WA 98338-9048 |
Mailing Address |
Po Box 158 Kapowsin WA 98344-0158 |
Practice Telephone | 2538472012 |
Mailing Telephone | 2538472012 |
Enumeration Date | 2015-01-17 |
Last Update Date | 2015-01-17 |
Authorized Official Name | ANGELA M ERDAHL (REGISTERED NURSE) |
Authorized Official Telephone | 2538472012 |
Authorized Official Credential | RN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | RN00172277 | WA | Nursing & Custodial Care Facilities |
Street Address |
12102 294TH ST E |
City | GRAHAM |
State | WA |
Zip Code | 98338-9048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114306164 | Angela Erdahl | Registered Nurse | 12102 294th St E, Graham, WA 98338-9048 | 2015-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932750858 | Sue Ann Prante | Technician | 10411 194th St Ct E, Graham, WA 98338 | 2019-09-23 |
1053885442 | Elva Flannery | Counselor | 26812 118th Ave E, Graham, WA 98338 | 2019-01-18 |
1801383484 | Dansie Pediatric, Pllc | Dentist | 3316 56th St Nw, Suite 100, Gig Harbor, WA 98338 | 2018-04-18 |
1568903342 | Jordan Landholm | Chiropractor | 10305 196th St Ct E Ste F, Graham, WA 98338 | 2017-03-14 |
1336524594 | Dj and Ak Spencer Dmd Ps | Durable Medical Equipment & Medical Supplies | 22205 Meridian Ave E, Suite 109, Graham, WA 98338 | 2015-07-29 |
1477971307 | Lylia Dixon | Registered Nurse | 10238 194th St E Apt R108, Graham, WA 98338 | 2014-03-28 |
1992935605 | James Kung Chun Kao | Pharmacist | 22201 Meridian East, Graham, WA 98338 | 2009-07-16 |
1316190622 | Melissa Ann Castro | Massage Therapist | 22007 Meridain E Suite D, Graham, WA 98338 | 2008-10-30 |
1861608036 | John T Chen | Dentist | 10221 198th St E, Graham, WA 98338 | 2007-05-15 |
1073729224 | Ojh Clinic #7, Inc. | Dentist | 10221 198th St. E., Graham, WA 98338 | 2007-05-15 |
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Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275827164 | Above and Beyond II Family Care LLC | Assisted Living Facility | 316 Denny Cir, Graham, NC 27253-2706 | 2011-06-08 |
1467640490 | Csh Graham, Lp | Assisted Living Facility | 1015 Cliff Dr, Graham, TX 76450-4116 | 2007-10-03 |
1972641025 | Springview Care Inc. | Assisted Living Facility | 611 W Whitsett St, Graham, NC 27253-1635 | 2007-02-01 |
1972641199 | Springview Care Inc | Assisted Living Facility | 613 W Whitsett St, Graham, NC 27253-1635 | 2007-02-01 |
1487642666 | Senior Living Properties LLC | Assisted Living Facility | 1201 Cherry St, Graham, TX 76450-3829 | 2005-10-11 |
1225647407 | Avian Adult Family Home LLC | Assisted Living Facility | 9427 194th St E, Graham, WA 98338-8198 | 2020-07-23 |
1932405115 | Graves Family Care | Assisted Living Facility | 409 Mill St, Graham, NC 27253-2226 | 2011-02-04 |
1043447006 | Csh Graham Lp | Assisted Living Facility | 1015 Cliff Dr, Graham, TX 76450-4116 | 2009-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215537485 | All Saints Adult Family Home, LLC | Assisted Living Facility | 1413 12th St Ne, Auburn, WA 98002-3533 | 2020-10-27 |
1245844497 | Bremerton Mc Operations, LLC | Assisted Living Facility | 3510 9th St, Bremerton, WA 98312-3544 | 2020-09-04 |
1104434547 | Sunrise Senior Living Management Inc | Assisted Living Facility | 23599 Se Issaquah Fall City Rd, Issaquah, WA 98029-9265 | 2020-07-22 |
1174131999 | Longhouse Bothell LLC | Assisted Living Facility | 16605 122nd Pl Ne, Bothell, WA 98011-7114 | 2020-07-17 |
1447878913 | Northwest Hc Columbia Heights Wa Operator Nt-hci LLC | Assisted Living Facility | 1550 Cherry St, Wenatchee, WA 98801-6253 | 2020-07-10 |
1881212355 | Northwest Hc Seaport Landing Wa Operator Nt-hci LLC | Assisted Living Facility | 1201 Hancock St, Port Townsend, WA 98368-8513 | 2020-07-10 |
1568089472 | Living Court Ventures, L.L.C. | Assisted Living Facility | 2229 Jensen St, Enumclaw, WA 98022-3639 | 2020-06-26 |
1154948065 | Sullivan Cottages, L.L.C. | Assisted Living Facility | 411 S Adams Rd, Spokane Valley, WA 99216-2287 | 2020-06-26 |
1104443001 | Gig Harbor Ventures, L.L.C. | Assisted Living Facility | 3025 14th Ave Nw, Gig Harbor, WA 98335-1635 | 2020-06-26 |
1609493519 | Wenatchee Alf Ventures, L.L.C. | Assisted Living Facility | 601 Okanogan Ave, Wenatchee, WA 98801-6414 | 2020-06-26 |
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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.