Active NPI
Mga Home Healthcare Washington LLC
Doing business as MGA Homecare
- Home Health Agency
- Lynnwood, WA
National Provider Identifier
1366114233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2022
- 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
- Anthony Venzor
- Title
- Area Vice President
- Phone
- (425) 321-5742
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Home Health Registered Nurse
- Lynnwood, WA
- NPI 1487301552
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.