NORTHWEST ROYAL HOME CARE, LLC (NPI# 1982067591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982067591 |
| Entity Type | Organization |
| Organization Name | NORTHWEST ROYAL HOME CARE, LLC |
| Practice Address |
7029 Ne Fairway Ave Vancouver WA 98662-3690 |
| Practice Telephone | 3605245653 |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |
| Authorized Official Name | ALLA POLYAKOV (DIRECTOR OF PATIENT CARE) |
| Authorized Official Telephone | 3605245653 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
751903 | WA | Nursing & Custodial Care Facilities |
| Street Address |
7029 NE FAIRWAY AVE |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98662-3690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720424971 | Alla Polyakov | Registered Nurse | 7029 Ne Fairway Ave, Vancouver, WA 98662-3690 | 2013-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024911 | Hillary Ann Devore | Behavior Technician | 9414 Ne Fouth Plain Road, Vancouver, WA 98662 | 2020-02-06 |
| 1073091781 | Jessica Edit Villasenor | Social Worker | 9800 Ne Oakview Dr, Vancouver, WA 98662 | 2018-08-03 |
| 1568991123 | Preferred Rx Pharmacy Inc | Pharmacy | 10303 Ne Fourth Plain Blvd Ste 109, Vancouver, WA 98662 | 2017-06-07 |
| 1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
| 1942685664 | Silpa Nekkalapudi | Dentist | 11504 Ne 119th St, Suite 100, Vancouver, WA 98662 | 2015-07-23 |
| 1528468261 | Lidiya Chepa | Pharmacist | 14505 Ne Fourth Plain Boulevard, Vancouver, WA 98662 | 2014-08-29 |
| 1962827030 | Vanessa Wulff | Chiropractor | 6405 Ne 116th Ave Ste 106, Vancouver, WA 98662 | 2014-02-26 |
| 1326484080 | Precious Jewel Adult Family Home | Custodial Care Facility | 9707 Ne 115th Ct, Vancouver, WA 98662 | 2013-05-21 |
| 1457698466 | Elise C Jones | Counselor | 4400 Ne 77th Ave., Suite 275, Vancouver, WA 98662 | 2013-01-10 |
| 1396096103 | At Home Sleep Solutions | Clinic/Center | 9330 Ne Vancouver Mall Dr., Suite 202, Vancouver, WA 98662 | 2012-09-20 |
| Find all providers in zip 98662 | ||||
| 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 |
|---|---|---|---|---|
| 1548804578 | Aurita Estudillo Tagle | Custodial Care Facility | 7015 Carolina Ln, Vancouver, WA 98664-1558 | 2019-11-02 |
| 1427516962 | Evangeline Royon Plunkett | Custodial Care Facility | 5912 Ne 112th St, Vancouver, WA 98686-5953 | 2019-03-04 |
| 1801302419 | Aleksandr Marchuk | Custodial Care Facility | 14807 Ne 87th St, Vancouver, WA 98682-3443 | 2017-12-19 |
| 1164803383 | Rite Choice Ventilator Specialty LLC Afh | Custodial Care Facility | 15208 Ne 25th Cir, Vancouver, WA 98684-7884 | 2015-06-12 |
| 1568862134 | Divinity Adult Family Home, LLC | Custodial Care Facility | 5902 Kansas St, Vancouver, WA 98661-6918 | 2014-09-02 |
| 1154737930 | Diana Mocan | Custodial Care Facility | 3911 Se 157th Ave, Vancouver, WA 98683-5310 | 2014-07-01 |
| 1366865644 | Lilia L. Ortega Rnd | Custodial Care Facility | 3703 Columbia St, Vancouver, WA 98660-1965 | 2014-01-23 |
| 1396179222 | Jg&m Corporation | Custodial Care Facility | 9600 Ne 113th Ave, Vancouver, WA 98662-2258 | 2013-08-28 |
| 1326484080 | Precious Jewel Adult Family Home | Custodial Care Facility | 9707 Ne 115th Ct, Vancouver, WA 98662 | 2013-05-21 |
| 1922391408 | Evergreen Quality Home | Custodial Care Facility | 304 Nw 102nd St, Vancouver, WA 98685-5233 | 2011-05-17 |
| Find all providers in VANCOUVER | ||||
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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.