CLOUD NINE CARE SUITE, LLC


Address: 3705 165th Pl Sw, Lynnwood, WA 98037-7019
Phone: 4254924333

CLOUD NINE CARE SUITE, LLC (NPI# 1609231687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609231687
Entity Type Organization
Organization Name CLOUD NINE CARE SUITE, LLC
Practice Address 3705 165th Pl Sw
Lynnwood
WA 98037-7019
Practice Telephone 4254924333
Mailing Telephone 4254924333
Enumeration Date 2015-12-17
Last Update Date 2015-12-17
Authorized Official Name JUDY VU (PROVIDER/OWNER)
Authorized Official Telephone 4254924333
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
752992 WA Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WA 204964401 05

Office Location

Street Address 3705 165TH PL SW
City LYNNWOOD
State WA
Zip Code 98037-7019

Providers in the same zip code

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1427536341 Cierra Lynn Brunette Dentist 17425 Wa-99, Suite D, Lynnwood, WA 98037 2018-08-02
1831680974 Yessica Yasmin Gaxiola Dental Assistant 17425 Wa-99 Suite D, Lynnwood, WA 98037 2018-05-24
1851888416 Mary Soledad Ramos Registered Nurse 6506 168th St. Sw, Lynnwood, WA 98037 2018-04-19
1083144984 Statcare Staffing Home Health 3526 168th Pl Sw, Lynnwood, WA 98037 2017-06-14
1770034910 Emanual Kahsai Pharmacist 18422 41st Pl W, Lynnwood, WA 98037 2016-10-24
1477947133 Costco Wholesale Corporation Pharmacy 18109 33rd Ave W, Lynnwood, WA 98037 2015-03-20
1164816872 Costco Wholesale Corporation Hearing Aid Equipment 18109 33rd Avenue West, Lynnwood, WA 98037 2015-03-20
1801212071 Megan Ann Herrenkohl Social Worker 5325 172nd St Sw, Lynnwood, WA 98037 2014-03-12
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982244034 Careplus Adult Family Home Inc Custodial Care Facility 1923 149th St Sw, Lynnwood, WA 98087-6310 2020-01-07
1083146195 Us Inns Adult Family Home Inc Custodial Care Facility 16432 40th Pl W, Lynnwood, WA 98037-9023 2017-03-29
1609337310 A Touch of Comfort LLC Custodial Care Facility 4123 Serene Way, Lynnwood, WA 98087-5208 2019-03-26

Providers in the same taxonomy and state

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
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
1992360523 Lilian Malamusha Custodial Care Facility 10511 E 8th Ave, Spokane Valley, WA 99206-3506 2019-05-09
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Competitor

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City LYNNWOOD
Zip Code 98037

Improve Information

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Dataset Information

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.

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