CARING WITH COMPASSION COMMUNITY (NPI# 1811507759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811507759 |
| Entity Type | Organization |
| Organization Name | CARING WITH COMPASSION COMMUNITY |
| Practice Address |
20113 96th Ave E Graham WA 98338-8040 |
| Practice Telephone | 2533755211 |
| Mailing Telephone | 2533755211 |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |
| Authorized Official Name | RONITA YVETTE BOULLT (CEO/DIRECTOR) |
| Authorized Official Telephone | 2533755211 |
| Is Organization Subpart | Y |
| Parent Organization Name | CARING WITH COMPASSION COMMUNITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 171W00000X | Contractor | Other Service Providers | ||
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers | ||
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | UNIFIED BUSINESS ID | 604527651 | 01 |
| Other Name | Type Code |
|---|---|
| Caring With Compassion House | Other Name - Individual/Organization |
| CaringWithCompassionCommunity | Doing Business As Name - Organization |
| CaringWithCompassionHouse | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CARING WITH COMPASSION COMMUNITY | 17404 Meridian E Ste F127, Puyallup, WA 98375-6234 |
| Street Address |
20113 96TH AVE E |
| City | GRAHAM |
| State | WA |
| Zip Code | 98338-8040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932750858 | Sue Ann Prante | Technician | 10411 194th St Ct E, Graham, WA 98338 | 2019-09-23 |
| 1053885442 | Elva Flannery | Counselor | 26812 118th Ave E, Graham, WA 98338 | 2019-01-18 |
| 1801383484 | Dansie Pediatric, Pllc | Dentist | 3316 56th St Nw, Suite 100, Gig Harbor, WA 98338 | 2018-04-18 |
| 1568903342 | Jordan Landholm | Chiropractor | 10305 196th St Ct E Ste F, Graham, WA 98338 | 2017-03-14 |
| 1336524594 | Dj and Ak Spencer Dmd Ps | Durable Medical Equipment & Medical Supplies | 22205 Meridian Ave E, Suite 109, Graham, WA 98338 | 2015-07-29 |
| 1477971307 | Lylia Dixon | Registered Nurse | 10238 194th St E Apt R108, Graham, WA 98338 | 2014-03-28 |
| 1992935605 | James Kung Chun Kao | Pharmacist | 22201 Meridian East, Graham, WA 98338 | 2009-07-16 |
| 1316190622 | Melissa Ann Castro | Massage Therapist | 22007 Meridain E Suite D, Graham, WA 98338 | 2008-10-30 |
| 1861608036 | John T Chen | Dentist | 10221 198th St E, Graham, WA 98338 | 2007-05-15 |
| 1073729224 | Ojh Clinic #7, Inc. | Dentist | 10221 198th St. E., Graham, WA 98338 | 2007-05-15 |
| Find all providers in zip 98338 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304703 | Corina Thornton | Peer Specialist | Arrow Lakes Street, Nespelem, WA 99155-0304 | 2020-10-22 |
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1306454061 | Ashley D Vinson-harris | Peer Specialist | 116 S 339th Cir, Federal Way, WA 98003-4537 | 2020-07-20 |
| 1184240301 | Aleric Hughes | Peer Specialist | 1200 Sw Holden St, Seattle, WA 98106-2054 | 2020-06-23 |
| 1013533876 | Alyssa Camille Meaker | Peer Specialist | 4350 Cordata Pkwy Ste 220, Bellingham, WA 98226-8278 | 2020-06-17 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1558982058 | Edward Thomas Gollihugh | Peer Specialist | 721 Fawcett Ave Ste 204, Tacoma, WA 98402-5502 | 2020-05-06 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1043856123 | Jayde Wailani Albright | Peer Specialist | 5920 N Calispel St, Spokane, WA 99205-6214 | 2019-11-23 |
| 1033755244 | Willapa Behavioral Health | Peer Specialist | 2204 Pacific Ave. N., Long Beach, WA 98631 | 2019-11-22 |
| 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.