ST NINO ADULT FAMILY HOME


Address: 19620 8th Ave E, Spanaway, WA 98387
Phone: 2538759077

ST NINO ADULT FAMILY HOME (NPI# 1710153937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710153937
Entity Type Organization
Organization Name ST NINO ADULT FAMILY HOME
Practice Address 19620 8th Ave E
Spanaway
WA 98387
Mailing Address 19620 8th Ave E
19724 8th Ave E Spanaway Wa 98387
Spanaway
WA 98387-8478
Practice Telephone 2538759077
Practice Fax Number 2538759077
Mailing Telephone 2538759077
Enumeration Date 2008-05-07
Last Update Date 2008-05-07
Authorized Official Name REZA S VARGAS (PROVIDER/OWNER)
Authorized Official Telephone 2538759077
Authorized Official Credential NAR
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
635100 WA Nursing & Custodial Care Facilities

Office Location

Street Address 19620 8TH AVE E
City SPANAWAY
State WA
Zip Code 98387

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124673934 Mckenzie L Cooper Behavioral Analyst 27421 30th Ave E, Spanaway, WA 98387 2019-08-08
1902467442 Lindsey Taylor Reynolds Speech-Language Pathologist Bethel High School, 22215 38th Ave E, Spanaway, WA 98387 2019-06-25
1700353299 David York Chiropractor 18407 Pacific Avenue, Suite A-11, Spanaway, WA 98387 2018-11-01
1730669391 Lindsey Copus Speech-Language Pathologist 516 176th E, Spanaway, WA 98387 2018-08-14
1023531720 Rebecca Susan Callaway Behavioral Analyst 4606 216th St Ct E, Spanaway, WA 98387 2017-07-25
1780093666 Ramandeep Grewal Pharmacist 20307 Mountain Hwy W, Spanaway, WA 98387 2014-08-05
1730464223 Dawn Michelle Johnson Counselor 7714 197th Street Ct E, Spanaway, WA 98387 2011-10-15
1982929469 Abracadabra Recovery Inc Community/Behavioral Health 18407 Pacific Avenue South, Spanaway, WA 98387 2010-03-29
1932348810 Christine Ann Uhl Specialist 8306 205th St Ct East, Spanaway, WA 98387 2009-02-17
1205072659 Karen Lynn Iverson Specialist 5410 184th. Street East, Bethel Schools, Spanaway, WA 98387 2009-01-06
Find all providers in zip 98387

Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770906877 Yun Suk Mann Custodial Care Facility 1802 150th St S, Spanaway, WA 98387-9019 2014-01-24
1780859330 Country Living Adult Family Home Custodial Care Facility 21514 47th Ave E, Spanaway, WA 98387 2008-04-24

Providers in the same taxonomy and state

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
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Competitor

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City SPANAWAY
Zip Code 98387

Improve Information

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Dataset Information

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.

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