Active NPI
Pete Jelinek
- In Home Supportive Care Agency
- Kent, WA
National Provider Identifier
1629567102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 603171347
- Practice address
- 6632 S 191St PL
Suite E-103
Kent, WA 98032 - Phone
- (425) 656-8811
- Fax
- (425) 656-9015
- NPI assigned
- May 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 603171347 | WA | Primary |
Addresses
Primary practice location
6632 S 191St PL
Suite E-103
Kent, WA 98032
Mailing address
6632 S 191St PL
Suite E-103
Kent, WA 98032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 603171347 | WA | MD | In Home Supportive Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Helpers of Seattle | In Home Supportive Care | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Kent, WA
- NPI 1366794398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1629567102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6632 S 191ST PL",
"address_2": "SUITE E-103",
"city": "KENT",
"state": "WA",
"postal_code": "98032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6632 S 191ST PL",
"address_2": "SUITE E-103",
"city": "KENT",
"state": "WA",
"postal_code": "98032",
"telephone_number": "425-656-8811",
"fax_number": "425-656-9015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JELINEK",
"first_name": "PETE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-09",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "WA",
"license": "603171347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.