Provider Type Icon

RESIDENCE CHOICE ADULT FAMILY HOME NPI 1376265306


NPI Information

NPI: 1376265306
Provider Name: RESIDENCE CHOICE ADULT FAMILY HOME
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
17400 17TH PL NE
SHORELINE, WA
ZIP 98155
Phone: (302) 357-5104
Get Directions

RESIDENCE CHOICE ADULT FAMILY HOME is an adult care home custodial care facility in Shoreline, WA. The provider is 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. RESIDENCE CHOICE ADULT FAMILY HOME NPI is 1376265306. The provider is registered as an organization entity type.

The provider's business location address is:

17400 17TH PL NE
SHORELINE, WA
ZIP 98155-202
Phone: (302) 357-5104
Fax: (425) 200-6172

The provider's authorized official is James Mwangi .
The authorized official title is Provider and has the following contact phone number (302) 357-5104.

The enumeration date for this NPI number is 9/15/2022 and was last updated on 9/15/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthNo
2251G00000XHospice Care, Community BasedNo
3251J00000XNursing CareNo
4253Z00000XIn Home Supportive CareNo
5315D00000XHospice, InpatientNo
6372600000XAdult CompanionNo
7374U00000XHome Health AideNo
8376G00000XNursing Home AdministratorNo
9385H00000XRespite CareNo
10311ZA0620XCustodial Care FacilityAdult Care HomeYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.