Kin on Health Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1221 Issued in WA

Legal business name

KIN ON HEALTH CARE CENTER

Practice address

4416 S Brandon St
Seattle, WA 98118-2341

Phone

(206) 721-3630

Fax

(206) 721-3626

NPI assigned

Jul 18, 2005

Organization subpart

No

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

Authorized official

Name

Ketty Hsieh

Title

Chief Executive Officer

Phone

(206) 556-2222

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Skilled nursing facility certification: CCN 505453A

Legal name

KIN ON HEALTH CARE CENTER

Organization structure

CorporationNon-profit

Incorporated

Jun 28, 1994 in WA

Enrollment address

4416 S Brandon St
Seattle, WA 98118-2341

Nursing home name

KIN ON HEALTH CARE CENTER

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Kin on Health Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kin on Health Care Center

  • Case Management Agency
  • Seattle, WA
  • NPI 1851038848
  NPD tax ID

Locations

All disclosed owners & managing parties 28

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Clement Sung-Jay Sun, MD, PHD, MS

  • Internal Medicine Physician
  • Issaquah, WA
  • NPI 1245626779

  Corporate Director

  CMS ownership
• Jiakun Wang, MD

  • Internal Medicine Physician
  • Bellevue, WA
  • NPI 1912177627

  Corporate Director

  CMS ownership

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Kin on Health Care Center

  • Case Management Agency
  • Seattle, WA
  • NPI 1851038848
  NPPES parent name

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neeta Bhogal, MD

  • Family Medicine Physician
  • Everett, WA
  • NPI 1154473833
  NPD (past)
• I Jen Chen, MD

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1023187622
  NPD (past)
• Verlene Joyce Gauthier, M.D.

  • Rheumatology Physician
  • Covington, WA
  • NPI 1730158478
  NPD (past)
• Sue Ann Ikai, MD

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1346395787
  NPD (past)
• Jiyun Kim, MD

  • Hospitalist Physician
  • Renton, WA
  • NPI 1326202078
  NPD (past)
• Pei-Chia Liang, M.D.

  • Hospitalist Physician
  • Renton, WA
  • NPI 1154612091
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1366441834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4416 S BRANDON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182341",
            "telephone_number": "206-721-3630",
            "fax_number": "206-721-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4416 S BRANDON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182341",
            "telephone_number": "206-721-3630",
            "fax_number": "206-721-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIN ON HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "HSIEH",
        "authorized_official_first_name": "KETTY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "206-556-2222"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "1221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4112215",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Virginia White Kimmerle, ARNP
• Alan L Kimpton, O.D.
• Francis Kimuli, RESPIRATORY THERPIST
• Orie Kimura, LSWAIC
• Kin on Community Health Care
• Kin on Health Care Center
• Karen Kinbar, MS CCC-SLP
• Richard Gede Kincade, M.D.
• Carrie Lynn Kincaid, MSW
• Ryan Kincheloe

• Skilled Nursing Facility in Seattle, WA
• Providers in Seattle, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.