Organization Active NPI

Samaricare of Lynnwood

  • Nursing Facility Supplies (DME)
  • Lynnwood, WA
National Provider Identifier
1902823610
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
License
0102276 Issued in WA
Legal business name
SAMARICARE OF LYNNWOOD
Practice address
19410 36TH Ave W Ste 6
Lynnwood, WA 98036-5747
Phone
(425) 771-5306
Fax
(425) 771-5318
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Danh Nguyen
Title
Owner
Phone
(425) 771-5306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X 0102276 WA Primary

Addresses

Primary practice location

19410 36TH Ave W Ste 6
Lynnwood, WA 98036-5747

Mailing address

19410 36TH Ave W Ste 6
Lynnwood, WA 98036-5747
Phone (425) 771-5306

National Provider Directory

National Provider Directory

Locations

19410 36th Ave W
Ste 6
Lynnwood, WA 98036
Phone (425) 771-5306

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902823610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19410 36TH AVE W STE 6",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365747",
            "telephone_number": "425-771-5306",
            "fax_number": "425-771-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19410 36TH AVE W STE 6",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365747",
            "telephone_number": "425-771-5306",
            "fax_number": "425-771-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARICARE OF LYNNWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DANH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-771-5306"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "WA",
            "license": "0102276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.