Individual provider Active NPI

Aileen M Mirante, OWNER

  • In Home Supportive Care Agency
  • Puyallup, WA
National Provider Identifier
1013651702
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
IHS.FS.61266062 Issued in WA
Practice address
8320 185TH Street CT E
Puyallup, WA 98375-2462
Phone
(206) 403-0077
NPI assigned
Apr 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X IHS.FS.61266062 WA Primary

Addresses

Primary practice location

8320 185TH Street CT E
Puyallup, WA 98375-2462

Mailing address

8320 185TH Street CT E
Puyallup, WA 98375-2462
Phone (206) 403-0077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IHS.FS.61266062WAMDIn Home Supportive Care Agency

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1013651702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 185TH STREET CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983752462",
            "telephone_number": "206-403-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 185TH STREET CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983752462",
            "telephone_number": "206-403-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANTE",
        "first_name": "AILEEN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "OWNER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "IHS.FS.61266062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.