NPIMap

Organization Active NPI

Cordial Complete Care

  • In Home Supportive Care Agency
  • Sammamish, WA
National Provider Identifier
1851661888
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
603015139 Issued in WA
Legal business name
CORDIAL COMPLETE CARE
Practice address
503 225TH LN NE
Number 304
Sammamish, WA 98074-7171
Phone
(425) 221-0395
Fax
(425) 996-0241
NPI assigned
Jan 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Authorized official

Name
Mr. Alex Craciun
Title
President/Treasurer
Phone
(425) 221-0395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 603015139 WA Primary

Addresses

Primary practice location

503 225TH LN NE
Number 304
Sammamish, WA 98074-7171

Mailing address

503 225TH LN NE
Number 304
Sammamish, WA 98074-7171
Phone (425) 221-0395

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1851661888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 225TH LN NE",
            "address_2": "NUMBER 304",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747171",
            "telephone_number": "425-221-0395",
            "fax_number": "425-996-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 225TH LN NE",
            "address_2": "NUMBER 304",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747171",
            "telephone_number": "425-221-0395",
            "fax_number": "425-996-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDIAL COMPLETE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "CRACIUN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "425-221-0395",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "603015139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sammamish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.