Aging With Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

AGING WITH CARE LLC

Practice address

22300 NE 58TH St
Vancouver, WA 98682-9046

Phone

(360) 852-3884

NPI assigned

May 25, 2022

Last updated

May 25, 2022By 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

Tatyana Gudishvili, RNNPI 1407591472

Title

Owner

Phone

(360) 558-7282

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tatyana Gudishvili, RN

  • Adult Care Home Facility
  • Vancouver, WA
  • NPI 1407591472
  NPD Authorized official

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1487392817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22300 NE 58TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986829046",
            "telephone_number": "360-852-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22300 NE 58TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986829046",
            "telephone_number": "360-852-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING WITH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "GUDISHVILI",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-558-7282",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agape Home Care LLC
• Agapegrace Adult Family Home
• Agapegrace Nursing Services, PLLC
• Vanjul Agarwal, M.D
• Aging Resources
• Anna Maria Agnew, MD
• Catalina Dey Agnew
• Chrystal Joy Agnor, PH.D.
• David W Agnor, PHD
• Himanshu Agrawal, PHARMD

• Adult Care Home Facility in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.