HEALTHY LIVING AT HOME - VANCOUVER, LLC (NPI# 1255812020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255812020 |
| Entity Type | Organization |
| Organization Name | HEALTHY LIVING AT HOME - VANCOUVER, LLC |
| Other Organization Name | HEALTHY LIVING AT HOME - VANCOUVER, LLC |
| Practice Address |
1220 Main St Ste 400 Vancouver WA 98660-2963 |
| Mailing Address |
1220 Main St Ste 4 Vancouver WA 98660-2953 |
| Practice Telephone | 8007461051 |
| Practice Fax Number | 3608594891 |
| Mailing Telephone | 8007461051 |
| Mailing Fax Number | 3608594891 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2020-03-31 |
| Authorized Official Name | JULIO QUINONES (CEO) |
| Authorized Official Telephone | 9162605296 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | WA | Agencies |
| Other Name | Type Code |
|---|---|
| Healthy Living at Home - Vancouver, LLC | Other Name - Individual/Organization |
| Street Address |
1220 MAIN ST STE 400 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98660-2963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026847 | Yauncy Wayne White Jr. | Behavior Technician | 1220 Main St Ste 400, Vancouver, WA 98660-2963 | 2020-08-31 |
| 1063024248 | Hannah Elizabeth Benitez | Behavior Technician | 1220 Main St Ste 400, Vancouver, WA 98660-2963 | 2020-08-19 |
| 1649881921 | Courtney Kucera | Behavior Technician | 1220 Main St Ste 400, Vancouver, WA 98660-2963 | 2020-08-11 |
| 1265040299 | Geraldine Archana Jeyanthan | Behavior Technician | 1220 Main St Ste 400, Vancouver, WA 98660-2963 | 2020-07-15 |
| 1083222095 | Kessa Victoria Rachel Douse | Behavior Technician | 1220 Main St Ste 400, Vancouver, WA 98660-2963 | 2020-07-15 |
| 1346858503 | Letha Evelyn Brock | Behavior Technician | 1220 Main St Ste 400, Vancouver, WA 98660-2963 | 2020-07-14 |
| 1134737307 | Grace Elizabeth Adams | Behavior Technician | 1220 Main St Ste 400, Vancouver, WA 98660-2963 | 2020-07-14 |
| 1235757634 | Alisha Friedt | Behavior Technician | 1220 Main St Ste 400, Vancouver, WA 98660-2963 | 2020-07-12 |
| 1396361481 | Makayla Krohling | Behavior Technician | 1220 Main St Ste 400, Vancouver, WA 98660-2963 | 2020-06-24 |
| 1184243883 | Savana Jorgette Ramirez | Behavior Technician | 1220 Main St Ste 400, Vancouver, WA 98660-2963 | 2020-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538779137 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 781 W Columbia Way, Vancouver, WA 98660 | 2020-08-07 |
| 1538641527 | Melissa Molly Sivaram | Counselor | 1012 Esther St, Vancouver, WA 98660 | 2018-09-05 |
| 1679082598 | Christopher Lewis Schwab | Peer Specialist | 5197 Nw Lower River Rd, Vancouver, WA 98660 | 2017-09-22 |
| 1023560141 | Disabled Veterans Hawaii LLC | Durable Medical Equipment & Medical Supplies | 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 | 2016-10-25 |
| 1023493004 | Laura Nicole Wood | Counselor | 1104 Main St Ste M100, Vancouver, WA 98660 | 2015-07-20 |
| 1790034627 | Clark County Juvenile Court | Marriage & Family Therapist | 500 W 11th Street, Vancouver, WA 98660 | 2012-09-06 |
| 1538439104 | Hutton Chiropractic Clinic Inc | Chiropractor | 703 Broadway Street, Ste 650, Vancouver, WA 98660 | 2012-01-12 |
| 1134422629 | Brenda Marie Bible | Social Worker | 101 E 8th St Ste 110, Vancouver, WA 98660 | 2010-12-06 |
| 1871895409 | Donna L Benedicktus | Contractor | 210 E Evergreen Blvd, Vancouver, WA 98660 | 2010-12-02 |
| 1992007801 | Peter Ray Hasemeier | Massage Therapist | 805 Broadway St., Vancouver, WA 98660 | 2010-11-29 |
| Find all providers in zip 98660 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778295 | Eden Home Health of Clark County, LLC | Home Health | 4601 Ne 77th Ave Ste 300, Vancouver, WA 98662-6736 | 2020-07-29 |
| 1871046623 | Rc Home Care Services, Inc. | Home Health | 4555 Ne 66th Ave, Vancouver, WA 98661-3181 | 2016-07-28 |
| 1629436027 | Fortis Healthcare, Inc. | Home Health | 8002 Ne Highway 99, #114, Vancouver, WA 98665-8876 | 2016-02-01 |
| 1356708895 | Vancouver Home Health Care Agency LLC | Home Health | 201 Ne Park Plaza Dr Ste 200, Vancouver, WA 98684-5871 | 2016-01-27 |
| 1952422735 | Elfin Services, Inc. | Home Health | 8509 Ne 69th St, Vancouver, WA 98662-4370 | 2007-04-02 |
| 1184771941 | Family Care Services, Inc | Home Health | 10000 Ne 7th Ave, Suite 210, Vancouver, WA 98685-4599 | 2007-01-04 |
| 1770644668 | Paradox Northwest Associates, Inc | Home Health | 205 E 11th St, Suite Ll1, Vancouver, WA 98660-3200 | 2006-12-13 |
| 1205867819 | Gentiva Certified Healthcare Corp. | Home Health | 204 Se Stone Mill Dr Ste 260, Vancouver, WA 98684-3507 | 2006-07-05 |
| 1144267667 | Waterford At Fairway Village Home | Home Health | 2909 Se Village Loop, Vancouver, WA 98683-8108 | 2006-06-01 |
| 1407366685 | Divine Home Health Care Inc | Home Health | 4555 Ne 66th Ave, Vancouver, WA 98661-3181 | 2017-10-02 |
| Find all providers in VANCOUVER | ||||
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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.