Vashon Island Elder Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

VASHON ISLAND ELDER CARE

Doing business as

Island Elder Care

Practice address

17311 96TH PL SW
Vashon, WA 98070-4933

Phone

(206) 856-1670

NPI assigned

Nov 19, 2020

Organization subpart

No

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

Authorized official

Name

Theresa Dian Shipley, RN

Title

President

Phone

(206) 856-1670

Specialties & licenses 1

Addresses

Other names 1

• Island Elder Care Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1932702156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 513",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980700513",
            "telephone_number": "206-856-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17311 96TH PL SW",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980704933",
            "telephone_number": "206-856-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASHON ISLAND ELDER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "SHIPLEY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "DIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-856-1670",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Elder Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanna Vance, LAC
• Haley Vandenhazel, MS
• Nancy Elaine Vanputten, OTR/L
• Vashon Chiropractic, PS (Vashon Chiropractic)
• Vashon Family Dentistry
• Vashon Island Elder Care 2 Inc (Island Elder Care)
• Vashon Island Fire & Rescue
• Vashon Island Fire and Rescue
• Vashon Island Midwifery
• Vashon Lutheran Church

• Adult Care Home Facility in Vashon, WA
• Providers in Vashon, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.