SANDRA J FORSYTHE (NPI# 1760654230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760654230 |
| Entity Type | Individual |
| Full Name | SANDRA J FORSYTHE |
| Practice Address |
34911 78th Ave E Eatonville WA 98328 |
| Practice Telephone | 2538465141 |
| Practice Fax Number | 2538465817 |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
578400 | WA | Nursing & Custodial Care Facilities |
| Street Address |
34911 78TH AVE E |
| City | EATONVILLE |
| State | WA |
| Zip Code | 98328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087706 | Melissa Dawn Taylor | Specialist/Technologist | 209 Lynch Creek Rd. E., Eatonville, WA 98328 | 2020-09-15 |
| 1922651652 | Diane Marie Crum | Nurse Practitioner | 118 Washington Ave. N, Eatonville, WA 98328 | 2019-07-22 |
| 1194182493 | Athena Ann Brown | Massage Therapist | 207 Center St E #c, Eatonville, WA 98328 | 2016-01-19 |
| 1881000446 | Rebecca Atkins | Counselor | 207 Center St E Ste C, Eatonville, WA 98328 | 2014-07-03 |
| 1215375118 | Diana Gay Root | Specialist/Technologist | 211 Rainier Ave N., Eatonville, WA 98328 | 2013-06-13 |
| 1235577222 | Joanne Thyme Barrett | Speech-Language Pathologist | 213 Rainier Ave, Eatonville, WA 98328 | 2013-06-12 |
| 1063673168 | Gloria Vaneaton Lowe | Family Medicine | 118 Washington Ave No, Eatonville, WA 98328 | 2008-06-20 |
| 1689791378 | Gretchen Christine Jones | Midwife | 207 Center Street East, Eatonville, WA 98328 | 2007-03-26 |
| 1396860375 | Debra Frazier Grant | Nurse Practitioner | 207 Center St E, Eatonville, WA 98328 | 2007-03-20 |
| 1457483679 | Town of Eatonville | Ambulance | 201 Center Street W, Eatonville, WA 98328 | 2007-03-12 |
| Find all providers in zip 98328 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | EATONVILLE |
| Zip Code | 98328 |
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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.