Northside Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NORTHSIDE HOME HEALTH LLC

Doing business as

Northside Home Health LLC

Practice address

5031 168TH St SW Ste 150
Lynnwood, WA 98037-5717

Phone

(425) 515-6010

Fax

(425) 678-6919

NPI assigned

Apr 4, 2024

Organization subpart

No

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

Authorized official

Name

Sheriff Sambou

Title

Ceo/Owner

Phone

(425) 515-6010

Specialties & licenses 1

Addresses

Other names 1

• Northside Home Health LLC Doing business as

Locations

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.

• Sambou Sheriff, RN

  • Home Health Registered Nurse
  • Lynnwood, WA
  • NPI 1487534582
  NPD

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1205688918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5031 168TH ST SW STE 150",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980375717",
            "telephone_number": "425-515-6010",
            "fax_number": "425-678-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 168TH ST SW STE 150",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980375717",
            "telephone_number": "425-515-6010",
            "fax_number": "425-678-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "SAMBOU",
        "authorized_official_first_name": "SHERIFF",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "425-515-6010"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northside Home Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Home Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.