PINEWOOD ASSISTED LIVING LLC (NPI# 1457803389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457803389 |
| Entity Type | Organization |
| Organization Name | PINEWOOD ASSISTED LIVING LLC |
| Other Organization Name | PINEWOODS AFH |
| Practice Address |
2526 Sw 323rd St Federal Way WA 98023-2520 |
| Mailing Address |
2526 Sw 323rd St Federal Way WA 98023 |
| Practice Telephone | 2532678850 |
| Practice Fax Number | 2062128573 |
| Mailing Telephone | 2532678850 |
| Mailing Fax Number | 2062128573 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |
| Authorized Official Name | MR. PATRICK AYUMA (RN/ CEO) |
| Authorized Official Telephone | 2532678850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
WA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Pinewoods AFH | Doing Business As Name - Organization |
| Street Address |
2526 SW 323RD ST |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98023-2520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093908 | Marlene Dawson | Technician | 33228 37th Place S.w., Federal Way, WA 98023 | 2019-09-25 |
| 1861994956 | Allen Abelgas Schimke | Registered Nurse | 1300 Sw Campus Drive Unit 38-4, Federal Way, WA 98023 | 2018-03-05 |
| 1568981298 | Hau Thi-le Vu | Dental Hygienist | 31174 2nd Pl Sw, Federal Way, WA 98023 | 2017-09-13 |
| 1700309416 | Jennifer Lynn Cha | Physician Assistant | 820 Sw 341st St., Federal Way, WA 98023 | 2017-07-25 |
| 1205373958 | Irina Poiata | Reflexologist | 1900 Sw Campus De Apt 15- 303, Federal Way, WA 98023 | 2017-01-19 |
| 1194275800 | Cynthia Marcellus | Counselor | 4523 Federal Ave, Everett, WA 98023 | 2016-10-05 |
| 1023441383 | Samantha Anne Larson | Pharmacist | 1300 Sw Campus Drive Apt 4-4, Federal Way, WA 98023 | 2013-08-09 |
| 1609149079 | Stacey Lee Beilke | Massage Therapist | 215 Sw 319th Lane, Apt L204, Federal Way, WA 98023 | 2012-02-16 |
| 1336456110 | Elweda Silva | General Acute Care Hospital | 31054 1st Pl Sw, Federal Way, WA 98023 | 2010-09-01 |
| 1114168739 | Aleksandra Starikov | Mechanotherapist | 34425 16th Ave Sw, Federal Way, WA 98023 | 2009-03-11 |
| Find all providers in zip 98023 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205633 | Dina Grib | Custodial Care Facility | 31408 8th Ave S, Federal Way, WA 98003-5302 | 2020-05-01 |
| 1215494000 | Acclaimed Care Afh, LLC | Custodial Care Facility | 34122 28th Ave Sw, Federal Way, WA 98023-7603 | 2019-02-27 |
| 1316432545 | William Mclaughlin | Custodial Care Facility | 29845 6th Ave S, Federal Way, WA 98003-3624 | 2018-06-29 |
| 1649686387 | Green Pine Care Service | Custodial Care Facility | 4461 Sw 313th St, Federal Way, WA 98023-2146 | 2014-07-02 |
| 1669644985 | Petronela Ionescu | Custodial Care Facility | 30846 21st Ave Sw, Federal Way, WA 98023-7803 | 2008-03-26 |
| 1821269655 | Margaret Kokumo Igbekoyi | Custodial Care Facility | 805 S 309th Pl, Federal Way, WA 98003-4736 | 2008-03-19 |
| 1881865020 | A Plus Afh, LLC | Custodial Care Facility | 1028 S 325th St, Federal Way, WA 98003-5933 | 2008-03-16 |
| 1245401488 | Dolores Ermitanio Cavada | Custodial Care Facility | 1036 S 325th St, Federal Way, WA 98003-5933 | 2008-03-16 |
| 1275703720 | Sound View Adult Family Home | Custodial Care Facility | 2324 Sw 300th St, Federal Way, WA 98023-2324 | 2008-03-11 |
| 1306016878 | Manuel's Home Afh | Custodial Care Facility | 4009 Sw 323rd St, Federal Way, WA 98023-2419 | 2008-03-11 |
| Find all providers in FEDERAL WAY | ||||
| City | FEDERAL WAY |
| Zip Code | 98023 |
Please comment or provide details below to improve the information on PINEWOOD ASSISTED LIVING LLC.
| 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.