Imba LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

752552 Issued in WA

Legal business name

IMBA LLC

Doing business as

A Water View Adult Family Home

Practice address

19511 23 Rd Ave NW
Shoreline, WA 98177-2566

Phone

(206) 697-5557

Fax

(206) 629-5544

NPI assigned

Jan 29, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Ioana Raluca Boanca, CNA

Title

Provider

Phone

(206) 697-5557

Specialties & licenses 1

Addresses

Other names 1

• A Water View Adult Family Home Doing business as

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1720401508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2566",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980832566",
            "telephone_number": "206-697-5557",
            "fax_number": "206-629-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19511 23 RD AVE NW",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981772566",
            "telephone_number": "206-697-5557",
            "fax_number": "206-629-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMBA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "BOANCA",
        "authorized_official_first_name": "IOANA",
        "authorized_official_middle_name": "RALUCA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "206-697-5557",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "752552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Water View Adult Family Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zenovia Hyejin Hwang, L.AC, EAMP
• Jennifer Hwee, RN
• Susan Mary Hyde, M.D.
• Caitlyn Hynes
• Joy Imadhay, PHARM D
• Inner Outer Therapy Group, PLLC
• Alice M Inouye, M.D.
• Integrated Center for Optimum Health, LLC
• Integrated Manual Therapy, LLC
• Internal Medicine & Cardiology Inc PS

• Adult Care Home Facility in Shoreline, WA
• Providers in Shoreline, 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 Jan 29, 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.