Ebony Jaiteh, HOME CARE AIDE

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

61501640 Issued in WA

Practice address

1829 W Mission Ave Unit a
Spokane, WA 99201-2837

Phone

(414) 698-4649

NPI assigned

Nov 11, 2024

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Cloverstone Adult Family Home LLC

  • Adult Care Home Facility
  • Spokane, WA
  • NPI 1821812587
  NPD Authorized official

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1841014503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 W MISSION AVE UNIT A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012837",
            "telephone_number": "414-698-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 W MISSION AVE UNIT A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012837",
            "telephone_number": "414-698-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAITEH",
        "first_name": "EBONY",
        "credential": "HOME CARE AIDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "WA",
            "license": "61501640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisity Arrin Jagim-Kern, LICSWA
• Courtney Jane Jahay, NAR
• Julie M Jahn, M.S., CCC-SLP
• Araceli Jaime
• Mohit Jain, MD
• Omar Jaiteh, REGISTERED NURSE
• John Jaksha
• James a Roubos PHD PS
• James C Bonvallet MD PS
• James C Hoppe DDS PLLC

• Home Health Aide in Spokane, WA
• Providers in Spokane, WA by specialty
• Home Health Aide in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.