Dina Grib

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

754297 Issued in WA

Practice address

31408 8TH Ave S
Federal Way, WA 98003-5302

Phone

(206) 351-3464

Fax

(206) 429-2217

NPI assigned

May 1, 2020

Last updated

May 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Six Star Elder Care LLC

  • Adult Care Home Facility
  • Federal Way, WA
  • NPI 1639955768
  NPD Authorized official
• Six Star Senior Care Corp

  • Adult Care Home Facility
  • Federal Way, WA
  • NPI 1871276501
  NPD Authorized official

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1780205633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31408 8TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035302",
            "telephone_number": "206-351-3464",
            "fax_number": "206-429-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31408 8TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035302",
            "telephone_number": "206-351-3464",
            "fax_number": "206-429-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIB",
        "first_name": "DINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "754297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenda Marie Greer, RN
• Mark Leon Greer, OC00001273
• Peter Campbell Gregory, MD
• David K Grenon, CRNA
• Ravneet Kaur Grewal
• Larissa Ann Grieves, OTR/L
• Makkai Griffin
• Mary Hughes Griffin, OTRL
• Yelizaveta Grigoryeva
• Amie Christine Grimme, MOT OTRL

• Adult Care Home Facility in Federal Way, WA
• Providers in Federal Way, 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 May 1, 2020; 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.