Active NPI
Six Star Elder Care LLC
- Adult Care Home Facility
- Federal Way, WA
National Provider Identifier
1639955768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- SIX STAR ELDER CARE LLC
- Practice address
- 31801 8TH Ave S
Federal Way, WA 98003-5324 - Phone
- (206) 351-3464
- Fax
- (206) 429-2217
- NPI assigned
- Sep 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dina Grib
- Title
- Owner/Provider
- Phone
- (206) 351-3464
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
31801 8TH Ave S
Federal Way, WA 98003-5324
Mailing address
31408 8TH Ave S
Federal Way, WA 98003-5302
Phone (206) 351-3464
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2320890 | Six Star Elder Care | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Care Home Facility
- Federal Way, WA
- NPI 1780205633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693872000000",
"number": "1639955768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31408 8TH AVE S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980035302",
"telephone_number": "206-351-3464",
"fax_number": "206-429-2217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31801 8TH AVE S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980035324",
"telephone_number": "206-351-3464",
"fax_number": "206-429-2217"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIX STAR ELDER CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-05",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A",
"authorized_official_last_name": "GRIB",
"authorized_official_first_name": "DINA",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "206-351-3464"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.