NPIMap

Organization Active NPI

Precious Jewel Adult Family Home

Doing business as none

  • Adult Care Home Facility
  • Vancouver, WA
National Provider Identifier
1326484080
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
RN00161838 Issued in WA
Legal business name
PRECIOUS JEWEL ADULT FAMILY HOME
Doing business as
none
Practice address
9707 NE 115TH CT
Vancouver, WA 98662
Phone
(360) 601-3415
NPI assigned
May 21, 2013
Last updated
May 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Miss Arlene Ramos Richards, RN
Title
Manager
Phone
(360) 601-3415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X RN00161838 WA Primary

Addresses

Primary practice location

9707 NE 115TH CT
Vancouver, WA 98662

Mailing address

11412 NE Conifer Dr.
Vancouver, WA 98662
Phone (360) 601-3415

Other names 1

  • none Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1326484080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11412 NE CONIFER DR.",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98662",
            "telephone_number": "360-601-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 NE 115TH CT",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98662",
            "telephone_number": "360-601-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS JEWEL ADULT FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_middle_name": "RAMOS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-601-3415",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "RN00161838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 21, 2013; 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.