WASHINGTON CARE AFH (NPI# 1114316494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114316494 |
| Entity Type | Organization |
| Organization Name | WASHINGTON CARE AFH |
| Practice Address |
16603 190th Ave Se Renton WA 98058-0814 |
| Mailing Address |
147 Nw 183rd St Shoreline WA 98177-3439 |
| Practice Telephone | 4252824127 |
| Practice Fax Number | 2068017470 |
| Mailing Telephone | 2068017174 |
| Mailing Fax Number | 2068017470 |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |
| Authorized Official Name | ROLANDO TANTOCO (PROVIDER/OWNER) |
| Authorized Official Telephone | 2068017174 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
750929 | WA | Nursing Service Related Providers |
| Street Address |
16603 190TH AVE SE |
| City | RENTON |
| State | WA |
| Zip Code | 98058-0814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639799471 | Fairwood Dental LLC | Dentist | 14250 Se 176th #j7, Renton, WA 98058 | 2020-04-22 |
| 1538641386 | Kenneth Graber | Physical Therapist | 17650 140th Avenue Sw, Suite B-07, Renton, WA 98058 | 2018-08-29 |
| 1508210154 | Lucy Johnson | Specialist/Technologist | 11808 Se 172nd Ln Apt N303, Renton, WA 98058 | 2016-04-20 |
| 1104253947 | Bertila Martinez | Dental Hygienist | 14600 Se 176th St #v4, Renton, WA 98058 | 2013-10-10 |
| 1326340456 | Tabatha Burris | Specialist | 14410 Petrovistsky Rd Se #109, Renton, WA 98058 | 2010-11-22 |
| 1295042570 | Hanh Q Nguyen | Pharmacist | 16940 116th Avenue Southeast, Renton, WA 98058 | 2010-09-08 |
| 1861692675 | Ernestine Johanna Rombouts | Counselor | 16205 128th Place Se, Renton, WA 98058 | 2007-07-19 |
| 1912100991 | Cara Rozell | Pharmacist | 400 South 43rd St, Renton, WA 98058 | 2007-06-07 |
| 1699821231 | Lynne Suzanne Balderson | Massage Therapist | 14410 Se Petrovitsky Rd #201, Renton, WA 98058 | 2007-01-26 |
| 1023173465 | Sara Jean Denherder | Massage Therapist | 17070 - 140th Ave Se, Renton, WA 98058 | 2006-12-26 |
| Find all providers in zip 98058 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748668 | Kara Lee Mathwich | Technician | 904 N 1st St, Renton, WA 98057-5759 | 2020-04-14 |
| 1265062012 | Lynette S Meroll | Technician | 11202 Se 186th St, Renton, WA 98055-7107 | 2020-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028561 | Tracy Lee Janosik | Technician | 316 N 30th Ave, Yakima, WA 98902-2332 | 2020-09-20 |
| 1922613157 | Rosa Kohler | Technician | 7411 Mill Creek Rd, Walla Walla, WA 99362-8490 | 2020-09-14 |
| 1336754027 | Merry Louise Charbonneau | Technician | 928 E Nora Ave, Spokane, WA 99207-2458 | 2020-09-10 |
| 1619581584 | Luana Irene Hulsey | Technician | 3408 Boxwood Ave, Bellingham, WA 98225-8400 | 2020-09-08 |
| 1285246553 | Sheryl Ann Fisher | Technician | 4124 240th St E, Spanaway, WA 98387-7002 | 2020-08-18 |
| 1881205516 | Megan Marie Henderson | Technician | 1214 Lowry St, Moses Lake, WA 98837-3103 | 2020-08-14 |
| 1396360699 | Sheila Therese Mccool | Technician | 10121 Evergreen Way Ste 25179, Everett, WA 98204-3885 | 2020-06-11 |
| 1811511082 | Brent Sidney Stone | Technician | 200 Nw 148th St, Vancouver, WA 98685-5752 | 2020-06-03 |
| 1538781695 | Nikki L Coleman | Technician | 2125 W Pioneer, Puyallup, WA 98371-5265 | 2020-05-12 |
| 1982231080 | Rosevelle Jones | Technician | 6400 E Royal View Ln, Port Orchard, WA 98366-8220 | 2020-03-26 |
| 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.