Vashon Island Elder Care 2 Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

VASHON ISLAND ELDER CARE 2 INC

Doing business as

Island Elder Care

Practice address

7319 SW 258TH PL
Vashon, WA 98070-8507

Phone

(206) 856-1670

NPI assigned

Dec 1, 2020

Organization subpart

No

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

Authorized official

Name

Theresa Dian Shipley, RN

Title

Provider

Phone

(206) 856-1670

Specialties & licenses 3

Addresses

Other names 1

• Island Elder Care Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1114522703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 513",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980700513",
            "telephone_number": "206-856-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7319 SW 258TH PL",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980708507",
            "telephone_number": "206-856-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASHON ISLAND ELDER CARE 2 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "SHIPLEY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "DIAN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "206-856-1670",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Elder Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haley Vandenhazel, MS
• Nancy Elaine Vanputten, OTR/L
• Vashon Chiropractic, PS (Vashon Chiropractic)
• Vashon Family Dentistry
• Vashon Island Elder Care (Island Elder Care)
• Vashon Island Fire & Rescue
• Vashon Island Fire and Rescue
• Vashon Island Midwifery
• Vashon Lutheran Church
• Vashon Natural Medicine

• Adult Care Home Facility in Vashon, WA
• Providers in Vashon, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.