Eastside Healthcare Staffing LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EASTSIDE HEALTHCARE STAFFING LLC

Practice address

19331 63Rd PL NE
Kenmore, WA 98028-3370

Phone

(252) 309-1837

NPI assigned

May 27, 2024

Organization subpart

No

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

Authorized official

Name

Sandra Namwase, RNNPI 1164263315

Title

Director of Clinican Services

Phone

(252) 309-1837

Specialties & licenses 1

Addresses

Other names 2

• Proactive Healthcare Staffing Doing business as
• Proactive Home Health Doing business as

Practitioners 1

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

• Sandra Namwase

  • Registered Nurse
  • Kenmore, WA
  • NPI 1164263315
  NPD Authorized official

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1770323933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19331 63RD PL NE",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980283370",
            "telephone_number": "252-309-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19331 63RD PL NE",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980283370",
            "telephone_number": "252-309-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE HEALTHCARE STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "NAMWASE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAN SERVICES",
        "authorized_official_telephone_number": "252-309-1837",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proactive Healthcare Staffing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Proactive Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Biwei Dong
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• All providers in Kenmore, WA
• Home Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.