Cloud Nine Care Suite, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

752992 Issued in WA

Legal business name

CLOUD NINE CARE SUITE, LLC

Practice address

3705 165TH PL SW
Lynnwood, WA 98037-7019

Phone

(425) 492-4333

NPI assigned

Dec 17, 2015

Organization subpart

No

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

Authorized official

Name

Judy Vu

Title

Provider/Owner

Phone

(425) 492-4333

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1609231687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 165TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980377019",
            "telephone_number": "425-492-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 165TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980377019",
            "telephone_number": "425-492-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOUD NINE CARE SUITE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "425-492-4333"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "752992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204964401",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Clemett, M.D.
• Samuel Meade Clewans
• Timothy Michael Cliney, D.D.S.
• Clint T. Worton, DDS - Lynnwood, PS
• Ann Cloonan
• Glenna G. Clouse, M.ED., LMHC
• Carey Anne Clouser, LPN
• Coast Imaging North PLLC
• Brenden Cochran, N.D.
• Arthur Coday Jr., M.D.

• Adult Care Home Facility in Lynnwood, WA
• Providers in Lynnwood, 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 Dec 17, 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.