Active NPI
Kin on Community Health Care
- In Home Supportive Care Agency
- Seattle, WA
National Provider Identifier
1124474176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- IHS.FS.00000358
- Legal business name
- KIN ON COMMUNITY HEALTH CARE
- Practice address
- 815 S Weller St
Ste 212
Seattle, WA 98104-3024 - Phone
- (206) 652-2330
- NPI assigned
- May 9, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Samuel Wan
- Title
- Ceo
- Phone
- (206) 652-2330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | IHS.FS.00000358 | WA | Primary |
Addresses
Primary practice location
815 S Weller St
Ste 212
Seattle, WA 98104-3024
Mailing address
815 S Weller St
Ste 212
Seattle, WA 98104-3024
Phone (206) 652-2330
Other names 1
- Kin On Community Care Network
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462752000000",
"number": "1124474176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 S WELLER ST",
"address_2": "STE 212",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043024",
"telephone_number": "206-652-2330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 S WELLER ST",
"address_2": "STE 212",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043024",
"telephone_number": "206-652-2330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIN ON COMMUNITY HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-09",
"last_updated": "2016-05-09",
"status": "A",
"authorized_official_last_name": "WAN",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "206-652-2330",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "WA",
"license": "IHS.FS.00000358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kin On Community Care Network",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.