ELLA BLLA LLC (NPI# 1629548722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629548722 |
| Entity Type | Organization |
| Organization Name | ELLA BLLA LLC |
| Practice Address |
2330 189th Pl Sw Lynnwood WA 98036-4875 |
| Mailing Address |
4320 196th St Sw # B736 Lynnwood WA 98036-6773 |
| Practice Telephone | 2066322015 |
| Practice Fax Number | 4256702037 |
| Mailing Telephone | 2066322015 |
| Mailing Fax Number | 4256702037 |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |
| Authorized Official Name | DAWIT T ASFAHA (OWNER) |
| Authorized Official Telephone | 2066322015 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LICENSE | 603041592 | 01 |
| Street Address |
2330 189TH PL SW |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-4875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497085468 | Careforce, Inc. | Nursing Care | 19401 40th Ave W, Suite 205, Lynnwood, WA 98036-4612 | 2010-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285261321 | Wessicare Homehealth & Concierge Services L.l.c | Nursing Care | 2711 Ne 115th St Apt 203, Seattle, WA 98125-5338 | 2020-03-26 |
| 1194368381 | Alexander Dutton | Nursing Care | 16228 Corliss Pl N, Shoreline, WA 98133-5823 | 2019-10-21 |
| 1295383479 | Blaine Powell | Nursing Care | 4900 Ne 141st Ave, Vancouver, WA 98682-6319 | 2019-08-30 |
| 1285294819 | Harbor Health Solutions LLC | Nursing Care | 6605 86th Street Ct Nw, Gig Harbor, WA 98332-6742 | 2019-06-17 |
| 1992268197 | Caroline Ngulube | Nursing Care | 6021 S 238th Pl Apt E103, Kent, WA 98032-3773 | 2019-04-13 |
| 1790245009 | School Health Consultants, Inc. | Nursing Care | 1400 Ne Mcwilliams Rd, Bremerton, WA 98311-3150 | 2019-03-22 |
| 1114411691 | Gasseling House Adf | Nursing Care | 905 Beaudry Rd, Yakima, WA 98901-8104 | 2018-06-19 |
| 1245733674 | Justin Marcus Keene | Nursing Care | 13739 22nd Ave Ne, Seattle, WA 98125-3313 | 2018-03-12 |
| 1184122038 | A Better Type of Homecare | Nursing Care | 4712 51st Street Ct E, Tacoma, WA 98443-2570 | 2018-01-25 |
| 1568975605 | William David Cantrell | Nursing Care | 1030 Nw Vinca Ln, Camas, WA 98607-7916 | 2017-11-12 |
| 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.