PAULINE FLOURNOY (NPI# 1508030180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508030180 |
| Entity Type | Individual |
| Full Name | PAULINE FLOURNOY |
| Other Name | PAULINE ANDERSON |
| Credential | CARE GIVER |
| Practice Address |
28121 14th Ave E Roy WA 98580 |
| Practice Telephone | 2538432989 |
| Practice Fax Number | 2538433087 |
| Mailing Telephone | 2538432989 |
| Mailing Fax Number | 2538433087 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
138000 | WA | Nursing & Custodial Care Facilities |
| Street Address |
28121 14TH AVE E |
| City | ROY |
| State | WA |
| Zip Code | 98580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659694750 | Patricia Riley Dammier | Counselor | 5304 State Route 702 S, Roy, WA 98580 | 2010-03-04 |
| 1811229594 | Dawn Wray Bouchard | Specialist | 29614 67th Ave Ct S, Roy, WA 98580 | 2010-02-05 |
| 1669703203 | Barbara L. Malm | Massage Therapist | 9111 346th St So, Ste #3, Roy, WA 98580 | 2010-01-21 |
| 1356576714 | Escape 2 Massage | Massage Therapist | 107 S. Warren St, Unit D, Roy, WA 98580 | 2009-05-28 |
| 1649414665 | Virgie Belo Aragon | Massage Therapist | 107 S. Warren, Unit D, Roy, WA 98580 | 2009-04-21 |
| 1487893673 | Janna Pauline Allen | Massage Therapist | 9111 346th St S., Ste 3, Roy, WA 98580 | 2009-02-11 |
| 1154511806 | Classic Chiropractic P.s. | Chiropractor | 35025 90th Ave. S., Unit 6, Roy, WA 98580 | 2007-07-30 |
| 1609933092 | Adrienne M Martin | Massage Therapist | 9111 346 St S, Suite 3, Rox, WA 98580 | 2007-01-03 |
| 1629133988 | Cassandra Pearl Cobb | Massage Therapist | 9111 346th St S, Suite 3, Roy, WA 98580 | 2006-12-27 |
| 1689749459 | Angela Marie Bagwell | Counselor | 107 Warren St So #0, Roy, WA 98580 | 2006-11-21 |
| Find all providers in zip 98580 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043810534 | Apple Creek, Inc. | Custodial Care Facility | 513 W Washington Ave, Yakima, WA 98903-1308 | 2020-10-26 |
| 1649877952 | Chase House LLC | Custodial Care Facility | 7006 Opal Ct Sw, Lakewood, WA 98498-6408 | 2020-10-08 |
| 1821603275 | Maria Sigheartau | Custodial Care Facility | 16228 Ne 100th St, Redmond, WA 98052-3039 | 2020-09-12 |
| 1154947802 | Allan's Place Extended Comfort Care LLC | Custodial Care Facility | 3134 E 15th Ave, Spokane, WA 99223-5110 | 2020-06-18 |
| 1780205633 | Dina Grib | Custodial Care Facility | 31408 8th Ave S, Federal Way, WA 98003-5302 | 2020-05-01 |
| 1699307769 | Jane Thuo | Custodial Care Facility | 11722 Ne 134th St, Kirkland, WA 98034-2130 | 2020-02-06 |
| 1982244034 | Careplus Adult Family Home Inc | Custodial Care Facility | 1923 149th St Sw, Lynnwood, WA 98087-6310 | 2020-01-07 |
| 1548804578 | Aurita Estudillo Tagle | Custodial Care Facility | 7015 Carolina Ln, Vancouver, WA 98664-1558 | 2019-11-02 |
| 1841846409 | Genteel Inc | Custodial Care Facility | 781 Kaynor Rd, Ellensburg, WA 98926-8691 | 2019-08-09 |
| 1114589033 | Deborah Nordberg | Custodial Care Facility | 203 S 77th Ave, Yakima, WA 98908-1513 | 2019-07-01 |
| 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.