Star Lake Adult Family Home in Kent - Adult Care Home
Star Lake Adult Family Home - NPI 1932379534
Star Lake Adult Family Home is a Adult Care Home in Kent, Washington. Star Lake Adult Family Home practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Star Lake Adult Family Home is 1932379534. The last update date is 2008-06-17.
Star Lake Adult Family Home's current location address is 3509 S 272nd St, Kent, Washington. You can contact this provider via phone number 2538593220 and fax number 2538540494. The mailing address for Star Lake Adult Family Home is 3509 S 272nd St, Kent, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Star Lake Adult Family Home |
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Address | 3509 S 272nd St, Kent, Washington |
Phone Number | 2538593220 |
Fax Number | 2538540494 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER/PROV |
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Authorized Official Name | David Vasilica |
Credentials | NAR |
Telephone Number | 2538593220 |
NPI Number Detail
NPI Number | 1932379534 |
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Provider Enumeration Date | 2008-03-11 |
Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
Address | 3509 S 272nd St |
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City | Kent |
State | Washington (WA) |
Post Code | 980327062 |
Phone Number | 2538593220 |
Fax Number | 2538540494 |
Provider's Primary Taxonomy Detail
Speciality | Adult Care Home |
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Taxonomy | 311Za0620X |
Licence No | 750042 |
Definition: 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 en |
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What is the unique provider identifier assigned to Star Lake Adult Family Home?
The Star Lake Adult Family Home has been issued the NPI (National Provider Identifier) 1932379534 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Star Lake Adult Family Home is physically located?
The Star Lake Adult Family Home is physically situated at the following address: 3509 S 272Nd St, Kent, WA, 980327062.
What is the Star Lake Adult Family Home's area of specialization and corresponding taxonomy classification?
The Star Lake Adult Family Home's specialty field is Adult Care Home, and it falls under the taxonomy code 311Za0620X, which categorizes healthcare providers based on their specialties.
When did Star Lake Adult Family Home receive its 1932379534 assignment?
The Star Lake Adult Family Home was assigned its 1932379534 on 2008-03-11, which is the date when this unique identifier was issued to the organization.
When was the information regarding Star Lake Adult Family Home most recently updated?
The details pertaining to the Star Lake Adult Family Home, including its address, specialty, and other relevant information, were last refreshed on 2008-06-17.
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