Organization Active NPI

Mga Home Healthcare Washington LLC

Doing business as MGA Homecare

  • Home Health Agency
  • Lynnwood, WA
National Provider Identifier
1366114233
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MGA HOME HEALTHCARE WASHINGTON LLC
Doing business as
MGA Homecare
Practice address
19401 40TH Ave W Ste 312
Lynnwood, WA 98036-5600
Phone
(425) 321-5742
Fax
(425) 264-8115
NPI assigned
Sep 29, 2021
Last updated
Apr 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Authorized official

Name
Anthony Venzor
Title
Area Vice President
Phone
(425) 321-5742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

19401 40TH Ave W Ste 312
Lynnwood, WA 98036-5600

Mailing address

7025 N Scottsdale Rd Ste 200
Scottsdale, AZ 85253-3675

Other names 1

  • MGA Homecare Doing business as

National Provider Directory

National Provider Directory

Locations

19401 40th Ave W
Ste 312
Lynnwood, WA 98036
Phone (425) 321-5742

6100 219th St SW
Ste 461
Mountlake Terrace, WA 98043

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1366114233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 N SCOTTSDALE RD STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852533675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19401 40TH AVE W STE 312",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365600",
            "telephone_number": "425-321-5742",
            "fax_number": "425-264-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGA HOME HEALTHCARE WASHINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "VENZOR",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "AREA VICE PRESIDENT",
        "authorized_official_telephone_number": "425-321-5742"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MGA Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MGA Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.