SEA-MAR COMMUNITY HEALTH CENTER (NPI# 1861538928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861538928 |
| Entity Type | Organization |
| Organization Name | SEA-MAR COMMUNITY HEALTH CENTER |
| Other Organization Name | SEA MAR COMMUNITY HEALTH CENTER |
| Practice Address |
1040 S Henderson St Seattle WA 98108-4720 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 2067635277 |
| Practice Fax Number | 2067883266 |
| Mailing Telephone | 2067643335 |
| Mailing Fax Number | 2067640489 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2012-04-27 |
| Authorized Official Name | MARY E BERTOLO (DEPUTY DIRECTOR) |
| Authorized Official Telephone | 2067635277 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | IS-433 | WA | Agencies |
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9524703 | 05 | |
| WA | 1020887 | 05 |
| Other Name | Type Code |
|---|---|
| Sea Mar Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336797273 | Sea-mar Community Health Center | Dentist | 6004 Capitol Ave Sw, Tumwater, WA 98501 | 2019-09-03 |
| 1063069839 | Sea-mar Community Health Center | Clinic/Center | 6004 Capitol Boulevard Southwest, Tumwater, WA 98501-8520 | 2019-08-26 |
| 1801372768 | Sea-mar Community Health Center | Pharmacy | 9650 15th Ave Sw Suite #100, Seattle, WA 98106 | 2018-07-13 |
| 1912410523 | Sea-mar Community Health Center | Clinic/Center | 14508 Ne 20th Ave Ste 2, Vancouver, WA 98686-6434 | 2017-11-06 |
| 1427561018 | Sea-mar Community Health Center | Clinic/Center | 3560 Bridgeport Way W Ste 1a, University Place, WA 98466-4446 | 2017-11-06 |
| 1649783259 | Sea-mar Community Health Center | Clinic/Center | 10217 125th Street Ct E Ste 300, Puyallup, WA 98374-2761 | 2017-11-06 |
| 1528432010 | Sea-mar Community Health Center | Dentist | 2781 South 242nd St, Seattle, WA 98198 | 2015-11-20 |
| 1881062362 | Sea-mar Community Health Center | Substance Abuse Rehabilitation Facility | 113 23rd Ave S, Seattle, WA 98144-2309 | 2015-09-14 |
| 1801204078 | Sea-mar Community Health Center | Clinic/Center | 14916 Washington Ave Sw, Lakewood, WA 98498-2271 | 2014-07-31 |
| 1366792707 | Sea-mar Community Health Center | Clinic/Center | 1920 100th Street Ne, Everett, WA 98208 | 2012-09-13 |
| Street Address |
1040 S HENDERSON ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98108-4720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386691467 | Sea Mar Skilled Nursing Facility | Skilled Nursing Facility | 1040 S Henderson St, Seattle, WA 98108-4720 | 2006-05-27 |
| 1609268408 | Shadi Ascarie | Counselor | 1040 S Henderson St, Seattle, WA 98108-4720 | 2015-03-03 |
| 1467869693 | Sea Mar Community Health Center | Clinic/Center | 1040 S Henderson St, Seattle, WA 98108-4720 | 2014-07-21 |
| 1932386232 | Teresa Dejesus Lusignan | Registered Nurse | 1040 S Henderson St, Seattle, WA 98108-4720 | 2008-01-29 |
| 1356487318 | Sea-mar Community Health Center | Clinic/Center | 1040 S Henderson St, Seattle, WA 98108-4720 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205468899 | Connie Heath | Counselor | 13044 14th Ave S, Seattle, WA 98108 | 2020-02-11 |
| 1316501216 | Hawa Ramazani Hamadi | Massage Therapist | 8811 2nd Ave S, Seattle, WA 98108 | 2019-04-25 |
| 1306312111 | Noor Ahmad Daftani | Counselor | 4008 Mlk Jr. Way, Seattle, WA 98108 | 2018-10-18 |
| 1346726015 | Erica M Meurk | Counselor | 3016 S Dakota St, Seattle, WA 98108 | 2018-07-16 |
| 1023527892 | Holly Lynn Wickizer | Social Worker | 6160 S. Columbian Way, Seattle, WA 98108 | 2017-09-25 |
| 1053708628 | Flora Feifei Li | Student in an Organized Health Care Education/Training Program | 6200 13th Avenue South, Seattle, WA 98108 | 2015-04-22 |
| 1174869481 | Cheryll J Frazier | Counselor | 1600 S. Columbia Way S-116-wtrc, Seattle, WA 98108 | 2012-12-14 |
| 1831440973 | Blissa Tanaka | Pharmacist | 1660 S. Columbian Way (s-119), Seattle, WA 98108 | 2012-09-28 |
| 1023367968 | Victoria Bozzacco | Registered Nurse | 4515 Martin Luther King Way S, Seattle, WA 98108 | 2012-09-06 |
| 1992053847 | Russell Larder | Registered Nurse | 4515 Martin Luther King Jr Way, Seattle, WA 98108 | 2012-08-27 |
| Find all providers in zip 98108 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861059347 | Sofavi Home Health LLC | Home Health | 1752 Nw Market St # 4208, Seattle, WA 98107-5264 | 2019-05-21 |
| 1083123640 | A & K Health Care Services LLC | Home Health | 2418 Sw Roxbury St, Seattle, WA 98106-2648 | 2017-09-27 |
| 1528584042 | Immaculate Independent Living, LLC | Home Health | 1615 19th Street, Suite A225, Seattle, WA 98122-7508 | 2017-08-16 |
| 1053766253 | Mercy Homecare LLC | Home Health | 8500 Perimeter Rd S, Suite 101, Seattle, WA 98108-3803 | 2016-04-26 |
| 1871947317 | Emerald City Transitional Services | Home Health | 5611 S Bangor St, Seattle, WA 98178-2237 | 2016-04-21 |
| 1770958134 | Universal Home Care LLC | Home Health | 7101 Mlk Jr Wa Y S Suite 202, Seattle, WA 98118-2705 | 2015-12-09 |
| 1912391160 | Day Surgery Companions Services | Home Health | 7743 Seward Park Ave S, Seattle, WA 98118-4248 | 2015-03-25 |
| 1528493251 | Kalkaal Home Care Service LLC | Home Health | 8334 Rainier Ave S Unit 200a, Seattle, WA 98118 | 2013-09-12 |
| 1770929002 | Integrity Home Health Care, Inc | Home Health | 5811 Rainiers Avenue S, Seattle, WA 98118 | 2013-05-14 |
| 1336482280 | Dereje G Lulu | Home Health | 14100 Linden Ave N, # 418, Seattle, WA 98133-7154 | 2013-03-28 |
| Find all providers in SEATTLE | ||||
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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.