PNW KUPUNA CARE, LLC (NPI# 1477163236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477163236 |
| Entity Type | Organization |
| Organization Name | PNW KUPUNA CARE, LLC |
| Practice Address |
203 S 4th Ave Sequim WA 98382-3719 |
| Practice Telephone | 8087568876 |
| Mailing Telephone | 8087568876 |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | ISAAC ADAM SCHMIDT (CHEIF OPERATION OFFICER) |
| Authorized Official Telephone | 8087568876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Home Instead Senior Care | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PNW KUPUNA CARE, LLC | 1130 W Spruce Ct, Sequim, WA 98382-3225 |
| Street Address |
203 S 4TH AVE |
| City | SEQUIM |
| State | WA |
| Zip Code | 98382-3719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760032841 | Dale I King | Technician | 512 Lostwood Lane, Sequim, WA 98382 | 2019-09-19 |
| 1831661164 | Katheryn Murray | Community Health Worker | 80 Spencer Rd Spc 10, Sequim, WA 98382 | 2018-12-27 |
| 1306314349 | Tera Joyce Phillips | Counselor | 112 S Solmar Dr, Sequim, WA 98382 | 2018-11-07 |
| 1275025595 | Peninsula Counseling | Social Worker | 435 West Bell St Suite D, Sequim, WA 98382 | 2018-06-01 |
| 1437661816 | Kathryn Elizabeth Sanford | Registered Nurse | 720 Carlsborg Rd, Sequim, WA 98382 | 2017-10-25 |
| 1407271935 | Hoa Lien Trinh | Denturist | 124 W. Spruce St., Sequim, WA 98382 | 2014-02-20 |
| 1306267323 | Pamela Hursey-king | Occupational Therapist | 600 West Hemlock St, Sequim, WA 98382 | 2013-12-17 |
| 1821419060 | Cortney Woodford | Speech-Language Pathologist | 600 West Hemlock Street, Sequim, WA 98382 | 2013-12-13 |
| 1851638043 | Sonja Ann Bittner | Registered Nurse | 503 North Sequim Ave, Sequim, WA 98382 | 2013-01-09 |
| 1063796175 | Peak Performance Therapy LLC | Occupational Therapist | 519 Eureka Way, Suite 2, Sequim, WA 98382 | 2011-10-07 |
| Find all providers in zip 98382 | ||||
| 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 |
|---|---|---|---|---|
| 1306934146 | Rainshadow Home Services, Inc. | Home Health | 1001 E Washington St, Suite 7, Sequim, WA 98382-3575 | 2006-10-10 |
| 1891152914 | Sean Nicholas Newman | Home Health | 411 W Washington St, Sequim, WA 98382-3343 | 2016-01-20 |
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|---|---|---|---|---|
| 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 |
| 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 |
| 1184278418 | Hh Home Care Seattle LLC | Home Health | 16330 32nd Ave Se, Mill Creek, WA 98012-8342 | 2019-07-25 |
| Find all providers with the same taxonomy | ||||
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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.