NPIMap

Organization Active NPI

Elder and Adult Day Services

  • Respite Care
  • Bellevue, WA
National Provider Identifier
1225446453
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
251C00000X Issued in WA
Legal business name
ELDER AND ADULT DAY SERVICES
Practice address
12831 NE 21St PL
Bellevue, WA 98005-1909
Phone
(425) 250-7038
NPI assigned
Jul 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Mrs. Patti Van Patten
Title
Cpa
Phone
(360) 271-0167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 251C00000X WA Primary

Addresses

Primary practice location

12831 NE 21St PL
Bellevue, WA 98005-1909

Mailing address

12831 NE 21St PL
Bellevue, WA 98005-1909
Phone (425) 250-7038

Other identifiers 1

IdentifierTypeStateIssuer
501954MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Eads2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1225446453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12831 NE 21ST PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051909",
            "telephone_number": "425-250-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12831 NE 21ST PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051909",
            "telephone_number": "425-250-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER AND ADULT DAY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "VAN PATTEN",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "CPA",
        "authorized_official_telephone_number": "360-271-0167",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "WA",
            "license": "251C00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501954",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.