Organization Active NPI

Statcare Staffing

  • Nursing Care Agency
  • Lynnwood, WA
National Provider Identifier
1083144984
Registry record updated Oct 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
STATCARE STAFFING
Practice address
3526 168TH PL SW
Lynnwood, WA 98037
Phone
12062351402
Fax
(206) 420-6115
NPI assigned
Jun 14, 2017
Last updated
Oct 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2017

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

Authorized official

Name
Daniel Ghebre, REGISTERED NURSENPI 1578932372
Title
Director
Phone
(206) 235-1402

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X WA
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

3526 168TH PL SW
Lynnwood, WA 98037

Mailing address

3526 168TH PL SW
Lynnwood, WA 98037-3233
Phone (206) 235-1402

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509235200000",
    "number": "1083144984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 168TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980373233",
            "telephone_number": "12062351402",
            "fax_number": "206-420-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 168TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "98037",
            "telephone_number": "12062351402",
            "fax_number": "206-420-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATCARE STAFFING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-10-29",
        "status": "A",
        "authorized_official_last_name": "GHEBRE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "206-235-1402",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2017; 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.