LONGHOUSE NORTHGATE LLC (NPI# 1518581933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518581933 |
| Entity Type | Organization |
| Organization Name | LONGHOUSE NORTHGATE LLC |
| Practice Address |
11339 8th Ave Ne Seattle WA 98125-6110 |
| Practice Telephone | 2063661771 |
| Practice Fax Number | 2063650827 |
| Mailing Telephone | 2063661771 |
| Mailing Fax Number | 2063650827 |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |
| Authorized Official Name | MATTHEW LONG (OWNER AND DIRECTOR) |
| Authorized Official Telephone | 2063074775 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | LONGHOUSE NORTHGATE LLC | 11339a 8th Ave Ne, Seattle, WA 98125-6110 |
| Street Address |
11339 8TH AVE NE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98125-6110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225290893 | Janet Marie Rhode | Clinical Nurse Specialist | 11339 8th Ave Ne, Seattle, WA 98125-6110 | 2008-06-25 |
| 1871127035 | Husky Senior Care, LLC | Technician | 11339 8th Ave Ne, Seattle, WA 98125-6110 | 2020-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771494 | Erin Renee Blood | Behavior Technician | 14301 30th Ave Ne, Seattle, WA 98125 | 2019-10-09 |
| 1023587912 | Ami Tsuchiya | Physical Therapist | 2611 Ne 125th St, Suite 90, Seattle, WA 98125 | 2018-11-20 |
| 1730603556 | Lauren Morgan | Counselor | 10125 Lake City Way Ne, Seattle, WA 98125 | 2017-08-02 |
| 1427572353 | Beverly Ann Williamson | Counselor | Community Psychiatric Clinic, 11000 Lake City Way, Ne, Seattle, WA 98125 | 2017-08-02 |
| 1902320229 | Lillian Marilynanne Olin | Nurse's Aide | 12728 28th Ave Ne Apt 510, Seattle, WA 98125 | 2017-07-28 |
| 1760913743 | Ariel Alon | Counselor | 13325 31st Ave Ne, Seattle, WA 98125 | 2017-03-22 |
| 1154872380 | Jean Hung | Naturopath | 12317 15th Ave Ne Suite #103, Seattle, WA 98125 | 2016-10-24 |
| 1063806438 | Hope Health Senior Care | Clinic/Center | 507ne Northgate Way, Suite #441, Seattle, WA 98125 | 2015-03-24 |
| 1073938585 | Lily Jei-ho Chang | Acupuncturist | 12710 102nd Ave Ne, Kirkland, WA 98125 | 2014-02-20 |
| 1033548177 | George Ray Coleman | Naturopath | 12520 26th Ave Ne, Unit B, Seattle, WA 98125 | 2013-11-08 |
| Find all providers in zip 98125 | ||||
| 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 |
|---|---|---|---|---|
| 1083128375 | Verdant Grove Adult Family Home, LLC | Custodial Care Facility | 9644 54th Ave S, Seattle, WA 98118-5705 | 2017-11-22 |
| 1265852511 | Gina N. Belicina | Custodial Care Facility | 11180 Beacon Ave S, Seattle, WA 98178-2145 | 2014-04-24 |
| 1811008980 | Polack Adult Day Center | Custodial Care Facility | 7500 Seward Park Ave S, Seattle, WA 98118-4247 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043810534 | Apple Creek, Inc. | Custodial Care Facility | 513 W Washington Ave, Yakima, WA 98903-1308 | 2020-10-26 |
| 1649877952 | Chase House LLC | Custodial Care Facility | 7006 Opal Ct Sw, Lakewood, WA 98498-6408 | 2020-10-08 |
| 1821603275 | Maria Sigheartau | Custodial Care Facility | 16228 Ne 100th St, Redmond, WA 98052-3039 | 2020-09-12 |
| 1154947802 | Allan's Place Extended Comfort Care LLC | Custodial Care Facility | 3134 E 15th Ave, Spokane, WA 99223-5110 | 2020-06-18 |
| 1780205633 | Dina Grib | Custodial Care Facility | 31408 8th Ave S, Federal Way, WA 98003-5302 | 2020-05-01 |
| 1699307769 | Jane Thuo | Custodial Care Facility | 11722 Ne 134th St, Kirkland, WA 98034-2130 | 2020-02-06 |
| 1982244034 | Careplus Adult Family Home Inc | Custodial Care Facility | 1923 149th St Sw, Lynnwood, WA 98087-6310 | 2020-01-07 |
| 1548804578 | Aurita Estudillo Tagle | Custodial Care Facility | 7015 Carolina Ln, Vancouver, WA 98664-1558 | 2019-11-02 |
| 1841846409 | Genteel Inc | Custodial Care Facility | 781 Kaynor Rd, Ellensburg, WA 98926-8691 | 2019-08-09 |
| 1114589033 | Deborah Nordberg | Custodial Care Facility | 203 S 77th Ave, Yakima, WA 98908-1513 | 2019-07-01 |
| 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.