Organization Active NPI

Chriscare Afh

  • Adult Care Home Facility
  • Vancouver, WA
National Provider Identifier
1265606305
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
750217 Issued in WA
Legal business name
CHRISCARE AFH
Practice address
6308 NE 108TH CT
Vancouver, WA 98662-5384
Phone
(360) 882-8965
Fax
(360) 314-6798
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Mr. Raul Sorin Muntiu-Pipa
Title
Owner
Phone
(360) 882-8965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 750217 WA Primary

Addresses

Primary practice location

6308 NE 108TH CT
Vancouver, WA 98662-5384

Mailing address

6308 NE 108TH CT
Vancouver, WA 98662-5384
Phone (360) 882-8965

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2270113Chriscare Afh6308 NE 108TH CT, Vancouver, WA 98662Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1265606305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 NE 108TH CT",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986625384",
            "telephone_number": "360-882-8965",
            "fax_number": "360-314-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 NE 108TH CT",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986625384",
            "telephone_number": "360-882-8965",
            "fax_number": "360-314-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISCARE AFH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "MUNTIU-PIPA",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "SORIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-882-8965",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "750217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.