NPIMap

Organization Active NPI

Stellar Home Care LLC

  • In Home Supportive Care Agency
  • Everett, WA
National Provider Identifier
1760131890
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
STELLAR HOME CARE LLC
Practice address
9318 5TH Dr SE
Everett, WA 98208-7044
Phone
(206) 643-9051
NPI assigned
Mar 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Lu ChengNPI 1962383638
Title
Owner
Phone
(206) 643-9051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

9318 5TH Dr SE
Everett, WA 98208-7044

Mailing address

9318 5TH Dr SE
Everett, WA 98208-7044

Other identifiers 1

IdentifierTypeStateIssuer
IHS.FS.61180342OtherWAWASHINGTON STATE DEPARTMENT OF HEALTH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1760131890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9318 5TH DR SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982087044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9318 5TH DR SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982087044",
            "telephone_number": "206-643-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "LU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-643-9051"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "IHS.FS.61180342",
            "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 Mar 23, 2022; 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.