Active NPI
Petronela Ionescu
- Adult Care Home Facility
- Federal Way, WA
National Provider Identifier
1669644985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 495400
- Practice address
- 30846 21St Ave SW
Federal Way, WA 98023-7803 - Phone
- (253) 838-4629
- Fax
- (253) 838-4629
- NPI assigned
- Mar 26, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 495400 | WA | Primary |
Addresses
Primary practice location
30846 21St Ave SW
Federal Way, WA 98023-7803
Mailing address
30846 21St Ave SW
Federal Way, WA 98023-7803
Phone (253) 838-4629
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 |
|---|---|---|---|
| 495400 | WA | MD | Adult Care Home Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206489600000",
"number": "1669644985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30846 21ST AVE SW",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980237803",
"telephone_number": "253-838-4629",
"fax_number": "253-838-4629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30846 21ST AVE SW",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980237803",
"telephone_number": "253-838-4629",
"fax_number": "253-838-4629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IONESCU",
"first_name": "PETRONELA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-26",
"last_updated": "2008-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "WA",
"license": "495400",
"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 Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.