PRISTINE HOUSE RENTON LLC NPI 1447027883

NPI Information

  • NPI: 1447027883
  • Provider Name: PRISTINE HOUSE RENTON LLC
  • Classification: Registered Nurse - 163W00000X
  • Entity Type: Organization
  • Doing Business As: PRISTINE HOUSE RENTON LLC
  • CLIA Number: 50D2293280
  • Address: 15207 SE 178TH PL
    RENTON, WA
    ZIP 98058
  • Phone: (425) 282-4501

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NPI Details

PRISTINE HOUSE RENTON LLC is a registered nurse in Renton, WA. The provider is (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. PRISTINE HOUSE RENTON LLC NPI is 1447027883. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pristine House Renton Llc.

The provider's business location address is:

15207 SE 178TH PL
RENTON, WA
ZIP 98058-049
Phone: (425) 282-4501
Fax: (425) 282-4588

The provider's authorized official is Anita Khadka .
The authorized official title is Owner/rn and has the following contact phone number (425) 282-4501.

The CLIA number assigned to this NPI record is 50D2293280 - other - afh with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2023 and was last updated on 11/1/2024.

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
1163W00000XRegistered NurseYes
2311ZA0620XCustodial Care FacilityAdult Care HomeNo

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: 11/21/2025

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