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GREEN HAVEN HOME CARE LLC NPI 1356817233


NPI Information

NPI: 1356817233
Provider Name: GREEN HAVEN HOME CARE LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization

CLIA Number: 50D2264306

Address:
3007 NE 141ST ST
VANCOUVER, WA
ZIP 98686
Phone: (360) 719-2709
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GREEN HAVEN HOME CARE LLC is an in home supportive care in Vancouver, WA. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. GREEN HAVEN HOME CARE LLC NPI is 1356817233. The provider is registered as an organization entity type.

The provider's business location address is:

3007 NE 141ST ST
VANCOUVER, WA
ZIP 98686-258
Phone: (360) 719-2709
Fax: (360) 984-6350

The provider's authorized official is Veronica Alexandra Escobar .
The authorized official title is Provider and has the following contact phone number (360) 719-2709.

The CLIA number assigned to this NPI record is 50D2264306 - other - afh with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2018 and was last updated on 10/18/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253Z00000XIn Home Supportive CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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