Healthcare Resource Northwest, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

IHS.FS60540256 Issued in WA

Legal business name

HEALTHCARE RESOURCE NORTHWEST, LLC

Practice address

500 SE Everett Mall Way Ste B213
Everett, WA 98208-8127

Phone

(425) 585-0364

NPI assigned

Apr 3, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer P. Go-Siayngco, RN

Title

Administrator

Phone

(425) 585-0364

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1447645676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SE EVERETT MALL WAY STE B213",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982088127",
            "telephone_number": "425-585-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SE EVERETT MALL WAY STE B213",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982088127",
            "telephone_number": "425-585-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE RESOURCE NORTHWEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "GO-SIAYNGCO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "425-585-0364",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "IHS.FS60540256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Apr 3, 2015; 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.