Alleva Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

IHS.FS.00000123 Issued in WA

Legal business name

ALLEVA HOME CARE

Practice address

1511 Third Ave
Suite 308
Seattle, WA 98101-1683

Phone

(206) 957-1365

Fax

(206) 382-4234

NPI assigned

Mar 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Nison Boris Simontov, J.D.

Title

Executive Director

Phone

(206) 957-1365

Specialties & licenses 1

Addresses

Other names 1

• Alleva Home Care Other name

Locations

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1295001253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 THIRD AVE.",
            "address_2": "SUITE 308",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011683",
            "telephone_number": "206-957-1365",
            "fax_number": "206-382-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 THIRD AVE",
            "address_2": "SUITE 308",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011683",
            "telephone_number": "206-957-1365",
            "fax_number": "206-382-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEVA HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "SIMONTOV",
        "authorized_official_first_name": "NISON",
        "authorized_official_middle_name": "BORIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "206-957-1365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "IHS.FS.00000123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alleva Home Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cooper Kent Allenbrand
• Brian M Allender, MD
• Eric Jon Allenspach, M.D., PH.D.
• Ashley Elizabeth Aller, M.D.
• Steven C Aller, M.D., PH.D.
• Alleva Home Care
• Asuba Kauna Alley-Barnes, LMP
• Connie J. Alley, CRNA
• Edward Garth Alley, MA
• Michael Dee Alley

• In Home Supportive Care Agency in Seattle, WA
• Providers in Seattle, WA by specialty
• In Home Supportive Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.