Vine Maple Care Home Llc

LBN: Vine Maple Care Home Llc
Vine Maple Care Home Llc is an health care organization with primary practice located at 12530 Vine Maple Dr Sw , Lakewood WA 98499-1134. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Vine Maple Care Home Llc can be contacted via phone (253) 301-0099, or through Monaghan, Luzviminda Imperial via phone (253) 301-0099.

Contact Information

Primary practice address
12530 Vine Maple Dr Sw Lakewood WA 98499-1134
Phone: (253) 301-0099
Fax: (253) 235-3645
Website:
Map and Directions
Authorized official contact:
Name: Monaghan, Luzviminda Imperial REGISTERED NURSE
Phone: (253) 301-0099

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1154891224
LBN Legal business name Vine Maple Care Home Llc
DBA Doing business as
Authorized official Monaghan, Luzviminda Imperial REGISTERED NURSE
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2018
Last updated Nov 30th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154891224 NPPES
Washington MEDICAID 2107449

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