Organization Active NPI

Relax Palace - Elite Senior Care LLC

  • Registered Nurse
  • Vancouver, WA
National Provider Identifier
1124834064
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
RELAX PALACE - ELITE SENIOR CARE LLC
Practice address
1805 NE 68TH St
Vancouver, WA 98665-0514
Phone
(360) 487-0007
Fax
(360) 729-6013
NPI assigned
Dec 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Silviya G ZhakutNPI 1194504431
Title
Registered Nurse
Phone
(360) 487-0007

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
Registered Nurse 163W00000X Primary

Addresses

Primary practice location

1805 NE 68TH St
Vancouver, WA 98665-0514

Mailing address

1805 NE 68TH St
Vancouver, WA 98665-0514
Phone (360) 487-0007

Other names 1

  • Relax Palace - Elite Senior Care LLC Doing business as

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": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1124834064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 NE 68TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650514",
            "telephone_number": "360-487-0007",
            "fax_number": "360-729-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 NE 68TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650514",
            "telephone_number": "360-487-0007",
            "fax_number": "360-729-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELAX PALACE - ELITE SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "ZHAKUT",
        "authorized_official_first_name": "SILVIYA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "360-487-0007"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Relax Palace - Elite Senior Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Relax Palace - Elite Senior Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.