Eliza K Cha

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

605-077-065 Issued in WA

Practice address

4020 Lake Washington Blvd NE Ste 301
Kirkland, WA 98033-7862

Phone

(425) 818-3949

Fax

(425) 300-6203

NPI assigned

Jul 25, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Uplift Senior Care LLC

  • In Home Supportive Care Agency
  • Kirkland, WA
  • NPI 1740056654
  NPD Authorized official

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1922789767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 105TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337017",
            "telephone_number": "917-273-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 LAKE WASHINGTON BLVD NE STE 301",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337862",
            "telephone_number": "425-818-3949",
            "fax_number": "425-300-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHA",
        "first_name": "ELIZA",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "WA",
            "license": "605-077-065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Prosthetics Orthotics, Inc.
• Center for Womens Health at Evergreen
• Centered in Wellness, LLC
• Marie Cermak, RPH
• Jose Luis Cervantes, LMP
• Charles Chabal, MD
• Azdel Yakim Chabi-Yaoure
• Andrea Dawn Chamberlain, LMP
• Cassandra Chamberlain
• James A. Champoux, M.D.

• Home Health Aide in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Home Health Aide in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.