Organization Active NPI

Wynmar, Inc

  • In Home Supportive Care Agency
  • Bothell, WA
National Provider Identifier
1952733792
Registry record updated Aug 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
IHS.FS.60378199 Issued in WA
Legal business name
WYNMAR, INC
Practice address
1329 237TH PL SW
Bothell, WA 98021-9428
Phone
(425) 420-4211
NPI assigned
Aug 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2013

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

Authorized official

Name
Mrs. Merle Miller, CNA, RDH
Title
President
Phone
(206) 852-2966

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IHS.FS.60378199 WA
In Home Supportive Care Agency 253Z00000X IHS.FS.60378199 WA Primary

Addresses

Primary practice location

1329 237TH PL SW
Bothell, WA 98021-9428

Mailing address

1329 237TH PL SW
Bothell, WA 98021-9428
Phone (425) 420-4211

Other names 1

  • Nurse Next Door, Puget Sound Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1375488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375488000000",
    "number": "1952733792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 237TH PL SW",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219428",
            "telephone_number": "425-420-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 237TH PL SW",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219428",
            "telephone_number": "425-420-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNMAR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-03",
        "last_updated": "2013-08-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MERLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-852-2966",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNA, RDH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "IHS.FS.60378199",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "IHS.FS.60378199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nurse Next Door, Puget Sound",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2013; 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.