NPIMap

Organization Active NPI

Children' S Country Home

  • Home Health Agency
  • Woodinville, WA
National Provider Identifier
1386161289
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
IHS.FS.00000253 Issued in WA
Legal business name
CHILDREN' S COUNTRY HOME
Practice address
14643 NE 166TH St
Woodinville, WA 98072-9013
Phone
(425) 806-9453
Fax
(425) 485-1527
NPI assigned
Aug 23, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Diane Kolb, RD,CD
Title
Executive Director
Phone
(425) 806-9453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IHS.FS.00000253 WA Primary

Addresses

Primary practice location

14643 NE 166TH St
Woodinville, WA 98072-9013

Mailing address

14643 NE 166TH St
Woodinville, WA 98072-9013
Phone (425) 806-9453

National Provider Directory

National Provider Directory
Tax ID family
Children' S Country Home2 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.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386161289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14643 NE 166TH ST",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980729013",
            "telephone_number": "425-806-9453",
            "fax_number": "425-485-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14643 NE 166TH ST",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980729013",
            "telephone_number": "425-806-9453",
            "fax_number": "425-485-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN' S COUNTRY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOLB",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "425-806-9453",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD,CD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "IHS.FS.00000253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.