Organization Active NPI

Ltci Home Care Inc

Doing business as Amada Senior Care

  • Home Health Agency
  • University Place, WA
National Provider Identifier
1922718170
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LTCI HOME CARE INC
Doing business as
Amada Senior Care
Practice address
3560 Bridgeport Way W Ste 3a
University Place, WA 98466-4446
Phone
(253) 881-0014
Fax
(253) 320-7440
NPI assigned
Nov 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Robert Paul ChristensenNPI 1932940905
Title
Ceo
Phone
(253) 881-0014

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
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3560 Bridgeport Way W Ste 3a
University Place, WA 98466-4446

Mailing address

3560 Bridgeport Way W Ste 3a
University Place, WA 98466-4446
Phone (253) 881-0014

Other names 1

  • Amada Senior Care Doing business as

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": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1922718170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 BRIDGEPORT WAY W STE 3A",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664446",
            "telephone_number": "253-881-0014",
            "fax_number": "253-320-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 BRIDGEPORT WAY W STE 3A",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664446",
            "telephone_number": "253-881-0014",
            "fax_number": "253-320-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTCI HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-881-0014"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amada Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in University Place, WA

Sources for this page

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