Organization Active NPI

Six Star Senior Care Corp

  • Adult Care Home Facility
  • Federal Way, WA
National Provider Identifier
1871276501
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SIX STAR SENIOR CARE CORP
Practice address
31408 8TH Ave S
Federal Way, WA 98003-5302
Phone
(206) 351-3464
Fax
(206) 592-2476
NPI assigned
Aug 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Dina GribNPI 1780205633
Title
Provider/Owner
Phone
(206) 351-3464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

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

Mailing address

31408 8TH Ave S
Federal Way, WA 98003-5302
Phone (206) 351-3464

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2319489Six Star Senior Care31408 8TH Ave S, Federal Way, WA 98003Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1871276501",
    "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": "206-592-2476"
        },
        {
            "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": "206-592-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIX STAR SENIOR CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "GRIB",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "206-351-3464"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.