East to West Aging Services & Consulting LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

EAST TO WEST AGING SERVICES & CONSULTING LLC

Practice address

1947 N Prairie LN Unit 103
Lynden, WA 98264-9252

Phone

(434) 907-0136

NPI assigned

Oct 3, 2024

Organization subpart

No

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

Authorized official

Name

Tara Venckus

Title

Owner

Phone

(540) 243-8152

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1447079827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 N PRAIRIE LN UNIT 103",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982649252",
            "telephone_number": "564-243-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 N PRAIRIE LN UNIT 103",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982649252",
            "telephone_number": "434-907-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TO WEST AGING SERVICES & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "VENCKUS",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-243-8152"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Lynden, WA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.