M&VJ Enterprise 1, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

60142704 Issued in WA

Legal business name

M&VJ ENTERPRISE 1, INC

Doing business as

Right at Home - Snohomish County

Practice address

909 SE Everett Mall Way
Suite C319
Everett, WA 98208-3746

Phone

(425) 290-1714

Fax

(425) 290-1684

NPI assigned

Dec 1, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Mark Johnston

Title

Owner

Phone

(425) 290-1714

Specialties & licenses 1

Addresses

Other names 1

• Right at Home - Snohomish County Doing business as

Locations

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1679970065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 SE EVERETT MALL WAY",
            "address_2": "SUITE C319",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083746",
            "telephone_number": "425-290-1714",
            "fax_number": "425-290-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SE EVERETT MALL WAY",
            "address_2": "SUITE C319",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083746",
            "telephone_number": "425-290-1714",
            "fax_number": "425-290-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&VJ ENTERPRISE 1, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-290-1714",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "60142704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Right at Home - Snohomish County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebekah J. Lynn-Giles
• Mia P Lynn
• Erin M Lystad, PA-C
• M Brown Recovery
• M Etemadi DMD PLLC
• Charles Q Ma, M.D.
• Chieh C Ma, MD
• Grace H Ma, MA, CCC-SLP
• Karin Lea-Anne Ma, O.D
• Katrina Ma, PHARM.D.

• In Home Supportive Care Agency in Everett, WA
• Providers in Everett, WA by specialty
• In Home Supportive Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.