Organization Active NPI

Reyjines Haven Afh LLC

  • Home Health Agency
  • Renton, WA
National Provider Identifier
1063242956
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
REYJINES HAVEN AFH LLC
Practice address
16608 126TH Ave SE
Renton, WA 98058-5554
Phone
(425) 228-6144
Fax
(425) 572-0768
NPI assigned
Aug 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Jennifer T Galan, NURSING ASSISTANTNPI 1942932785
Title
Afh Provider
Phone
(425) 228-6144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

16608 126TH Ave SE
Renton, WA 98058-5554

Mailing address

16608 126TH Ave SE
Renton, WA 98058-5554
Phone (425) 228-6144

Other practice location 1

16608 126th Ave SE
Renton, WA 98058-5554
Phone (425) 228-6144

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2299961Reyjines Haven Afh LLC16608 126TH Ave SE, Renton, WA 98058Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1063242956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16608 126TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980585554",
            "telephone_number": "425-228-6144",
            "fax_number": "425-572-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16608 126TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980585554",
            "telephone_number": "425-228-6144",
            "fax_number": "425-572-0768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16608 126th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980585554",
            "country_code": "US",
            "telephone_number": "425-228-6144",
            "fax_number": "425-572-0768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REYJINES HAVEN AFH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "GALAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AFH PROVIDER",
        "authorized_official_telephone_number": "425-228-6144",
        "authorized_official_credential": "NURSING ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.