Organization Active NPI

Acren Health Care, Inc

  • Nursing Care Agency
  • Lynnwood, WA
National Provider Identifier
1154566768
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
NR00000586 Issued in WA
Legal business name
ACREN HEALTH CARE, INC
Practice address
618 142ND Place SW
Lynnwood, WA 98087-6407
Phone
(425) 778-9102
NPI assigned
Dec 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Authorized official

Name
Jamal Sobka
Title
Ceo
Phone
(425) 778-9102

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
InterpreterGroup: 193200000X MULTI-SPECIALTY GROUP 171R00000X PMA2319 WA
Home Health Agency 251E00000X NPOL NR 00000586 WA
Nursing Care Agency 251J00000X NPOL.NR.00000586 WA
Nursing Care Agency 251J00000X NPOL NR 0000586 WA
Nursing Care Agency 251J00000X NR00000586 WA Primary

Addresses

Primary practice location

618 142ND Place SW
Lynnwood, WA 98087-6407

Mailing address

P.O. Box 65161
Shoreline, WA 98155
Phone (425) 778-9102

Other identifiers 1

IdentifierTypeStateIssuer
171R00000XOtherWAINTERPRETER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1154566768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 65161",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "98155",
            "telephone_number": "425-778-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 142ND PLACE SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980876407",
            "telephone_number": "425-778-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACREN HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "SOBKA",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-778-9102"
    },
    "taxonomies": [
        {
            "code": "171R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Interpreter",
            "state": "WA",
            "license": "PMA2319",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "NPOL NR 00000586",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "WA",
            "license": "NPOL.NR.00000586",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "WA",
            "license": "NPOL NR 0000586",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "WA",
            "license": "NR00000586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERPRETER",
            "identifier": "171R00000X",
            "state": "WA"
        }
    ],
    "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 Mar 2, 2010; 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.