Organization Active NPI

Marigold Healthcare Solutions LLC

  • Adult Care Home Facility
  • Parkland, WA
National Provider Identifier
1467260265
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
MARIGOLD HEALTHCARE SOLUTIONS LLC
Practice address
15022 25TH Avenue CT E
Parkland, WA 98445-4938
Phone
(253) 281-8797
Fax
(253) 276-4843
NPI assigned
Dec 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Authorized official

Name
Sushant B Shah
Title
Afh Provider
Phone
(253) 281-8797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

15022 25TH Avenue CT E
Parkland, WA 98445-4938

Mailing address

15022 25TH Avenue CT E
Parkland, WA 98445-4938
Phone (253) 281-8797

Other names 1

  • Marigold Adult Family Home Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2317765Marigold Adult Family Home15022 25TH Avenue CT E, Parkland, WA 98445Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1467260265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15022 25TH AVENUE CT E",
            "city": "PARKLAND",
            "state": "WA",
            "postal_code": "984454938",
            "telephone_number": "253-281-8797",
            "fax_number": "253-276-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15022 25TH AVENUE CT E",
            "city": "PARKLAND",
            "state": "WA",
            "postal_code": "984454938",
            "telephone_number": "253-281-8797",
            "fax_number": "253-276-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIGOLD HEALTHCARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SUSHANT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "AFH PROVIDER",
        "authorized_official_telephone_number": "253-281-8797"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marigold Adult Family Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.