Care in Home LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CARE IN HOME LLC

Doing business as

Home Instead

Practice address

909 SE Everett Mall Way Ste C302
Everett, WA 98208-3745

Phone

(425) 549-3100

Fax

(425) 458-2366

NPI assigned

Feb 24, 2021

Organization subpart

No

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

Authorized official

Name

Gus Vanderkolk

Title

Co-Owner

Phone

(425) 549-3100

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Home Instead Doing business as

Locations

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1386238939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 SE EVERETT MALL WAY STE C302",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083745",
            "telephone_number": "425-549-3100",
            "fax_number": "425-458-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SE EVERETT MALL WAY STE C302",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083745",
            "telephone_number": "425-549-3100",
            "fax_number": "425-458-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE IN HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "VANDERKOLK",
        "authorized_official_first_name": "GUS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "425-549-3100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2168537",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam Jason Card
• Carolyn Etsu Card, OTR/L
• Andre Maurice Cardenas, IDC
• Ricardo Cardona Guarache, M.D.
• Care Dental
• Care Medical Equipment, Inc.
• Barbara Carey, PT, DPT
• Caringhands Homecare Agency
• Katrina Carli, M.D.
• Desiree Deva Carlisle

• In Home Supportive Care Agency in Everett, WA
• Providers in Everett, WA by specialty
• In Home Supportive Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.