HUSKY SENIOR CARE, LLC (NPI# 1871127035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871127035 |
| Entity Type | Organization |
| Organization Name | HUSKY SENIOR CARE, LLC |
| Practice Address |
11339 8th Ave Ne Seattle WA 98125-6110 |
| Practice Telephone | 2065999990 |
| Practice Fax Number | 2063650827 |
| Mailing Telephone | 2065999990 |
| Mailing Fax Number | 2063650827 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | MR. MARK LONG (DIRECTOR) |
| Authorized Official Telephone | 2062720975 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | HUSKY SENIOR CARE, LLC | 11339b 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 |
| 1518581933 | Longhouse Northgate LLC | Custodial Care Facility | 11339 8th Ave Ne, Seattle, WA 98125-6110 | 2020-06-01 |
| 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 | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427695667 | Maria Katumbi Mwololo | Technician | 1902 2nd Ave Apt 1110, Seattle, WA 98101-1151 | 2019-12-06 |
| 1235770512 | Donna Dianne Campbell | Technician | 748 N 95th St #202, Seattle, WA 98103 | 2019-10-08 |
| 1033768460 | Ashley Ann Reasor | Technician | 10615 2nd Ave Sw, Seattle, WA 98146-1561 | 2019-09-09 |
| 1861023673 | Timothy Buettner | Technician | 14001 28th Ave Ne, Seattle, WA 98125-3505 | 2020-01-30 |
| 1063062131 | Tracy Ann Riksem | Technician | 10615 2nd Ave Sw, Seattle, WA 98146-1561 | 2019-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028561 | Tracy Lee Janosik | Technician | 316 N 30th Ave, Yakima, WA 98902-2332 | 2020-09-20 |
| 1922613157 | Rosa Kohler | Technician | 7411 Mill Creek Rd, Walla Walla, WA 99362-8490 | 2020-09-14 |
| 1336754027 | Merry Louise Charbonneau | Technician | 928 E Nora Ave, Spokane, WA 99207-2458 | 2020-09-10 |
| 1619581584 | Luana Irene Hulsey | Technician | 3408 Boxwood Ave, Bellingham, WA 98225-8400 | 2020-09-08 |
| 1285246553 | Sheryl Ann Fisher | Technician | 4124 240th St E, Spanaway, WA 98387-7002 | 2020-08-18 |
| 1881205516 | Megan Marie Henderson | Technician | 1214 Lowry St, Moses Lake, WA 98837-3103 | 2020-08-14 |
| 1396360699 | Sheila Therese Mccool | Technician | 10121 Evergreen Way Ste 25179, Everett, WA 98204-3885 | 2020-06-11 |
| 1811511082 | Brent Sidney Stone | Technician | 200 Nw 148th St, Vancouver, WA 98685-5752 | 2020-06-03 |
| 1538781695 | Nikki L Coleman | Technician | 2125 W Pioneer, Puyallup, WA 98371-5265 | 2020-05-12 |
| 1134748668 | Kara Lee Mathwich | Technician | 904 N 1st St, Renton, WA 98057-5759 | 2020-04-14 |
| 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.