Pristine House Renton LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

PRISTINE HOUSE RENTON LLC

Doing business as

Pristine House Renton LLC

Practice address

15207 SE 178TH PL
Renton, WA 98058-9049

Phone

(425) 282-4501

Fax

(425) 282-4588

NPI assigned

Dec 6, 2023

Last updated

Nov 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anita Khadka

Title

Owner/RN

Phone

(425) 282-4501

Specialties & licenses 2

Addresses

Other names 1

• Pristine House Renton LLC Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1447027883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15207 SE 178TH PL",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980589049",
            "telephone_number": "425-496-4238",
            "fax_number": "425-282-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15207 SE 178TH PL",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980589049",
            "telephone_number": "425-282-4501",
            "fax_number": "425-282-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE HOUSE RENTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "KHADKA",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "OWNER/RN",
        "authorized_official_telephone_number": "425-282-4501"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pristine House Renton LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Nurse in Renton, WA
• Providers in Renton, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.