Abc Elder Care Inc
Organization Active NPI Registered Nurse · Puyallup, WA
NPI 1023716487 · NPPES record last updated Mar 6, 2023
Key facts
- NPI
- 1023716487
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Nurse 163W00000X
- Legal business name
- ABC ELDER CARE INC
- Practice address
- 1130 11TH St SW
Puyallup, WA 98371-6702 - Phone
- (253) 315-9184
- NPI assigned
- Feb 15, 2023
- Organization subpart
- No
Authorized official
- Name
- Romeo Belocura, RN
- Title
- Officer
- Phone
- (253) 315-9184
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2276698 | Silver Creek Adult Family Home | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse |
163W00000X | Yes | ||
| Home Health Registered Nurse |
163WH0200X | |||
| Adult Care Home Facility | 311ZA0620X |
Addresses
Primary practice location
1130 11TH St SW
Puyallup, WA 98371-6702
Mailing address
11517 36TH St E
Edgewood, WA 98372-2093
Other names
- Silver Creek Adult Family Home
Other providers in Puyallup, WA
- A New Image Denture Clinic
- Ab Legacy Care Afh LLC
- Rebecca Abaddi
- Mylin Abalus
- Abate Abuse Counseling
- Saara Alyssa Abdalkhani
- Salma Mutawakil Abdalla
- Safaa Abdellatif
- Najah Abdul
- Bisher Abdullah
All providers in Puyallup, WA · Registered Nurse in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.