Haven in Allyn Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HAVEN IN ALLYN HOME CARE

Practice address

180 E Wheelwright St
Allyn, WA 98524-8716

Phone

(360) 277-0636

Fax

(360) 275-4021

NPI assigned

May 8, 2019

Organization subpart

No

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

Authorized official

Name

Debra Jamerson

Title

Owner

Phone

(360) 277-0636

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1962067546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 928",
            "city": "ALLYN",
            "state": "WA",
            "postal_code": "985240928",
            "telephone_number": "360-277-0636",
            "fax_number": "360-275-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E WHEELWRIGHT ST",
            "city": "ALLYN",
            "state": "WA",
            "postal_code": "985248716",
            "telephone_number": "360-277-0636",
            "fax_number": "360-275-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN IN ALLYN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "JAMERSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-277-0636"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Ann Alverts
• Andrea Lynn Davis, LMP
• Laura E Green, LSWICA, SUDP
• Haven in Ally LLC
• Violet Skye Marquardt, RN
• Ronald W. Nelson, D.C.
• Dena Ostenson, RN
• Andrea Luisa Quiroga, RD
• Laline Riley, PMHNP-BC

• All providers in Allyn, WA
• In Home Supportive Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.