DEREJE G LULU (NPI# 1336482280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336482280 |
Entity Type | Individual |
Full Name | DEREJE G LULU |
Other Name | UTHIOPIA IN HOME CARE IN HOME CARE |
Credential | NAC, |
Practice Address |
14100 Linden Ave N # 418 Seattle WA 98133-7154 |
Practice Telephone | 2064144710 |
Practice Fax Number | 2064947848 |
Mailing Telephone | 2065499648 |
Mailing Fax Number | 2064947848 |
Enumeration Date | 2013-03-28 |
Last Update Date | 2015-02-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251E00000X | Home Health | IHS.FS.60405684 | WA | Agencies |
N | 385H00000X | Respite Care | Respite Care Facility | ||
Y | 253Z00000X | In Home Supportive Care | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | WASHINGTON STATE HOME CARE AGENCE LICENSES PERMITSAND CERTIFICAT | IHS.FS.60405684 | 01 |
Street Address |
14100 LINDEN AVE N # 418 |
City | SEATTLE |
State | WA |
Zip Code | 98133-7154 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
Find all providers in zip 98133 |
Taxonomy Code | 253Z00000X |
Grouping | Agencies |
Classification | In Home Supportive Care |
An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528622511 | Homestewards LLC | In Home Supportive Care | 312 N 85th St # 102, Seattle, WA 98103-3659 | 2019-04-25 |
1275024622 | Immediate Home Care Agency LLC | In Home Supportive Care | 6727 Mlk Jr Way S Ste C, Seattle, WA 98118-3205 | 2018-05-22 |
1063913267 | Proactive Home Care, LLC | In Home Supportive Care | 3121 E Madison St Ste 203b, Seattle, WA 98112-4258 | 2018-02-22 |
1699205849 | With A Little Help, Inc | In Home Supportive Care | 2021 Minor Ave E Ste A, Seattle, WA 98102-3588 | 2017-06-19 |
1124474176 | Kin On Community Health Care | In Home Supportive Care | 815 S Weller St, Ste 212, Seattle, WA 98104-3024 | 2016-05-09 |
1467841981 | Golden Hearts Care Services | In Home Supportive Care | 60 S Spokane St, Seattle, WA 98134-2245 | 2015-01-21 |
1841541299 | Mkl Services | In Home Supportive Care | 14300 Greenwood Ave N, Suite D, Seattle, WA 98133-6831 | 2012-09-25 |
1295001253 | Alleva Home Care | In Home Supportive Care | 1511 Third Ave, Suite 308, Seattle, WA 98101-1683 | 2012-03-23 |
1659645091 | Kalkaal Home Health Care Agency | In Home Supportive Care | 6721 Mlk Jr Way South, Suite 6, Seattle, WA 98118 | 2012-03-02 |
1417267345 | Paige Susan LLC | In Home Supportive Care | 5501 4th Ave S, Suite 203, Seattle, WA 98108-2447 | 2010-10-13 |
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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.