Organization Active NPI

Alpha Nursing and Services Incorporated

  • Home Health Agency
  • Everett, WA
National Provider Identifier
1689690034
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
IS-210 Issued in WA
Legal business name
ALPHA NURSING AND SERVICES INCORPORATED
Practice address
10530 19TH Ave SE
Ste 201
Everett, WA 98208-4282
Phone
(425) 357-1790
Fax
(425) 357-1790
NPI assigned
Jul 15, 2006
Last updated
Sep 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Mr. Michael Peter Korzynek
Title
Cfo
Phone
(425) 357-1790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IS-210 WA Primary

Addresses

Primary practice location

10530 19TH Ave SE
Ste 201
Everett, WA 98208-4282

Mailing address

10530 19TH Ave SE
Ste 201
Everett, WA 98208-4282
Phone (425) 357-1790

Other identifiers 1

IdentifierTypeStateIssuer
9042177MedicaidWA

National Provider Directory

National Provider Directory

Locations

10530 19th Ave SE
Everett, WA 98208
Phone (425) 357-1790

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1689690034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10530 19TH AVE SE",
            "address_2": "STE 201",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084282",
            "telephone_number": "425-357-1790",
            "fax_number": "425-357-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10530 19TH AVE SE",
            "address_2": "STE 201",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084282",
            "telephone_number": "425-357-1790",
            "fax_number": "425-357-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA NURSING AND SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "KORZYNEK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "425-357-1790",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "IS-210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9042177",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.