Organization Active NPI

Full Life Care

  • Adult Day Care Clinic/Center
  • Seattle, WA
National Provider Identifier
1649402405
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
FULL LIFE CARE
Practice address
4712 35TH Ave S
Seattle, WA 98118-1704
Phone
(206) 467-7033
NPI assigned
Aug 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Authorized official

Name
Mr. David Richart
Title
Executive Director
Phone
(206) 467-7033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

4712 35TH Ave S
Seattle, WA 98118-1704

Mailing address

800 Jefferson St Ste 620
Seattle, WA 98104-2421

Other identifiers 1

IdentifierTypeStateIssuer
501965MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Full Life Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

800 Jefferson St
Ste 620
Seattle, WA 98104

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1649402405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 JEFFERSON ST STE 620",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 35TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181704",
            "telephone_number": "206-467-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL LIFE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "RICHART",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "206-467-7033",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501965",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.