ANGEL HOUSE INC (NPI# 1033769179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033769179 |
| Entity Type | Organization |
| Organization Name | ANGEL HOUSE INC |
| Practice Address |
5704 Douglas Dr Yakima WA 98908-2732 |
| Practice Telephone | 5099014666 |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | AMBER MARTINEZ (OWNER) |
| Authorized Official Telephone | 5099014666 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710270186 | Angel House Inc | Community/Behavioral Health | 3816 Liberty Ridge Rd, Virginia Beach, VA 23452-2902 | 2011-05-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Angel House Inc | 2800 Road 7.7, #860, Dove Creek, CO 81324 |
| Virginia Business Entities | ANGEL HOUSE INC. | 3707 Va Beach Blvd., Ste 206, Va. Beach, Virginia 23452 |
| Street Address |
5704 DOUGLAS DR |
| City | YAKIMA |
| State | WA |
| Zip Code | 98908-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578184206 | Lolly Angel House Afh LLC | Assisted Living Facility | 5704 Douglas Dr, Yakima, WA 98908-2732 | 2020-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857941 | Hillary Leigh Frank | Massage Therapist | 607 S 48th Ave Suite A, Yakima, WA 98908 | 2020-10-07 |
| 1255976056 | Olusegun Adesesan Bamgbelu | Pharmacist | Memorial Cornerstone Pharmacy, 4003 Creekside Loop, Yakima, WA 98908 | 2019-11-15 |
| 1699325811 | Sunrise Dental of Yakima | Dentist | 1020 South 40th Avenue, Suite G, Yakima, WA 98908 | 2019-09-19 |
| 1558896175 | Alyssa Noelle Wickenhagen | Specialist/Technologist | 106 N 91st Ave, Yakima, WA 98908 | 2017-04-21 |
| 1962861591 | Vanessa Roth | Massage Therapist | 10607 Wide Hollow Road, Yakima, WA 98908 | 2016-02-10 |
| 1407214000 | Kristine Mcclure | Counselor | 506 N 40th Ave Ste 201, Yakima, WA 98908 | 2016-02-10 |
| 1245635069 | Harry Williams | Pharmacist | 6600 West Nob Hill Blvd, Yakima, WA 98908 | 2014-10-23 |
| 1508107509 | Richard Paul Bustetter | Registered Nurse | 6513 West Chestnut Ave, Elite Nursing P.l.l.c., Yakima, WA 98908 | 2013-03-15 |
| 1528305331 | Beverly Irene Chandler | Licensed Practical Nurse | 6573 W. Chestnut Ave, Yakima, WA 98908 | 2013-01-14 |
| 1225373764 | Susan Schell | Licensed Practical Nurse | 6513 W.chestnut Ave, Elite Nursing, Yakima, WA 98908 | 2012-12-11 |
| Find all providers in zip 98908 | ||||
| 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 |
|---|---|---|---|---|
| 1225546179 | Brenda L Rojas | Assisted Living Facility | 2201 S 67th Ave, Yakima, WA 98903-9478 | 2018-01-12 |
| 1407360936 | Ponderosa Retirement Center Inc. | Assisted Living Facility | 3300 Englewood Ave, Yakima, WA 98902-1517 | 2017-11-20 |
| 1801330089 | Chp Yakima Wa II Tenant Corp. | Assisted Living Facility | 4130 Englewood Ave, Yakima, WA 98908-9799 | 2016-12-07 |
| 1659593788 | Park Meadows | Assisted Living Facility | 1010 North 34th Ave, Yakima, WA 98902 | 2007-05-02 |
| 1881710424 | Assisted Living Concepts Inc | Assisted Living Facility | 5100 W Nob Hill Blvd, Yakima, WA 98908 | 2007-03-22 |
| 1861536302 | Chesrtly Meadows Yakima Senior Living Care | Assisted Living Facility | 1100 N 35th Ave, Yakima, WA 98902-7355 | 2007-02-17 |
| 1932265220 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 4100 Englewood Ave, Yakima, WA 98908-2677 | 2006-12-29 |
| 1578184206 | Lolly Angel House Afh LLC | Assisted Living Facility | 5704 Douglas Dr, Yakima, WA 98908-2732 | 2020-05-05 |
| 1689158123 | Bishop Chesterley Lessee LLC | Assisted Living Facility | 1100 N 35th Ave, Yakima, WA 98902-7355 | 2018-09-20 |
| 1336635820 | Yakima Operations LLC | Assisted Living Facility | 3710 Kern Way, Yakima, WA 98902-4981 | 2018-07-08 |
| Find all providers in YAKIMA | ||||
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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.