Green Pine Care Service

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

752632 Issued in WA

Legal business name

GREEN PINE CARE SERVICE

Practice address

4461 SW 313TH St
Federal Way, WA 98023-2146

Phone

(206) 388-7318

NPI assigned

Jul 2, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Qing Xiu Ji Budnick

Title

Owner

Phone

(206) 388-7318

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1649686387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461 SW 313TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232146",
            "telephone_number": "206-388-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4461 SW 313TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232146",
            "telephone_number": "206-388-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN PINE CARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "BUDNICK",
        "authorized_official_first_name": "QING XIU JI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-388-7318",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "752632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Elias Grant, OTR
• Jennifer Lynn Gray, PHD
• Matthew Scott Gray, DMD
• Rayleen Amy Greathouse, PA-C
• David Greco
• Ashley Green, LMT
• Benjamin Michael Green, MD
• Destiny Green, ICCE
• Tyrone Lamonte Green Jr.
• Allison Greenberg, N.D.

• Adult Care Home Facility in Federal Way, WA
• Providers in Federal Way, 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 Jul 2, 2014; 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.