NPIMap

Organization Active NPI

Pers LLC

Doing business as SafetyLine

  • In Home Supportive Care Agency
  • Kenmore, WA
National Provider Identifier
1982153227
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
602 431 868 Issued in WA
Legal business name
PERS LLC
Doing business as
SafetyLine
Practice address
18710 80TH Ave NE
Kenmore, WA 98028-2808
Phone
(360) 303-4632
NPI assigned
Sep 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Authorized official

Name
Mrs. Tasha Shabnow
Title
Owner
Phone
(425) 802-1213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 602 431 868 WA Primary

Addresses

Primary practice location

18710 80TH Ave NE
Kenmore, WA 98028-2808

Mailing address

PO Box 821033
Kenmore, WA 98028-0997
Phone (360) 303-4632

Other names 1

  • SafetyLine 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": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1982153227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 821033",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980280997",
            "telephone_number": "360-303-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18710 80TH AVE NE",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980282808",
            "telephone_number": "360-303-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "SHABNOW",
        "authorized_official_first_name": "TASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-802-1213",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "602 431 868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SafetyLine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenmore, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.