NPIMap

Organization Active NPI

Archstone Adult Family Home, LLC

  • Inpatient Hospice
  • Renton, WA
National Provider Identifier
1558596361
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
License
A-750346 Issued in WA
Legal business name
ARCHSTONE ADULT FAMILY HOME, LLC
Practice address
18611 114TH Ave SE
Renton, WA 98055-7124
Phone
(425) 572-6453
Fax
(425) 572-5526
NPI assigned
May 22, 2009
Last updated
May 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Authorized official

Name
Michael Ray Goins, RN
Title
Owner
Phone
(425) 572-6453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Hospice 315D00000X A-750346 WA Primary

Addresses

Primary practice location

18611 114TH Ave SE
Renton, WA 98055-7124

Mailing address

18611 114TH Ave SE
Renton, WA 98055-7124
Phone (425) 572-6453

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1558596361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18611 114TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980557124",
            "telephone_number": "425-572-6453",
            "fax_number": "425-572-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18611 114TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980557124",
            "telephone_number": "425-572-6453",
            "fax_number": "425-572-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHSTONE ADULT FAMILY HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "GOINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-572-6453",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "WA",
            "license": "A-750346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.