Organization Active NPI

Immediate Home Care Agency LLC

  • In Home Supportive Care Agency
  • Seattle, WA
National Provider Identifier
1275024622
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on May 22, 2018

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.