Active NPI
Immediate Home Care Agency LLC
- In Home Supportive Care Agency
- Seattle, WA
National Provider Identifier
1275024622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- IMMEDIATE HOME CARE AGENCY LLC
- Practice address
- 6727 MLK Jr Way S Ste C
Seattle, WA 98118-3205 - Phone
- (206) 643-7815
- NPI assigned
- May 22, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ahmed Yussuf
- Title
- Owner
- Phone
- (612) 814-7838
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
6727 MLK Jr Way S Ste C
Seattle, WA 98118-3205
Mailing address
3730 S 148TH St Apt 56
Tukwila, WA 98168-4364
Phone (206) 643-7815
National Provider Directory
National Provider DirectoryLocations
6727 Martin Luther King Jr Way S
Ste C
Seattle, WA 98118
Phone (206) 643-7815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526947200000",
"number": "1275024622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3730 S 148TH ST APT 56",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981684364",
"telephone_number": "206-643-7815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6727 MLK JR WAY S STE C",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981183205",
"telephone_number": "206-643-7815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMMEDIATE HOME CARE AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-22",
"last_updated": "2018-05-22",
"status": "A",
"authorized_official_last_name": "YUSSUF",
"authorized_official_first_name": "AHMED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-814-7838"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.