Organization Active NPI

Diakonia

  • In Home Supportive Care Agency
  • Everett, WA
National Provider Identifier
1871028449
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
60618919 Issued in WA
Legal business name
DIAKONIA
Practice address
1812 Hewitt Ave Ste 207
Everett, WA 98201-5823
Phone
(425) 512-9271
Fax
(425) 645-2796
NPI assigned
Apr 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Mr. Derek Warby
Title
Owner/General Manager
Phone
(425) 359-9550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 60618919 WA Primary

Addresses

Primary practice location

1812 Hewitt Ave Ste 207
Everett, WA 98201-5823

Mailing address

1812 Hewitt Ave Ste 207
Everett, WA 98201-5823
Phone (425) 512-9271

Other names 1

  • SYNERGY HomeCare Doing business as

National Provider Directory

National Provider Directory

Locations

1812 Hewitt Ave
Ste 207
Everett, WA 98201
Phone (425) 512-9271

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1871028449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 HEWITT AVE STE 207",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982015823",
            "telephone_number": "425-512-9271",
            "fax_number": "425-645-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 HEWITT AVE STE 207",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982015823",
            "telephone_number": "425-512-9271",
            "fax_number": "425-645-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAKONIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "WARBY",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER/GENERAL MANAGER",
        "authorized_official_telephone_number": "425-359-9550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "60618919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SYNERGY HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 20, 2017; 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.