1639403413 NPI number — CARE PLUS HOME HEALTH INC

Table of content: DR. RICHARD BRYAN CINDRICH MD (NPI 1942399837)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639403413 NPI number — CARE PLUS HOME HEALTH INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARE PLUS HOME HEALTH INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639403413
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/25/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3377 BETHEL RD SE
Provider Second Line Business Mailing Address:
#107 PMB 195
Provider Business Mailing Address City Name:
PORT ORCHARD
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98366-5608
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-373-8016
Provider Business Mailing Address Fax Number:
360-616-2775

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1730 POTTERY AVE
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
PORT ORCHARD
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98366-2508
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-373-8016
Provider Business Practice Location Address Fax Number:
360-616-2775
Provider Enumeration Date:
09/25/2009

Additional Information

Authorized Official

Authorized Official Last Name:
BARTA
Authorized Official First Name:
MAUREEN
Authorized Official Middle Name:
A
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
360-373-8016

Provider Taxonomy Codes

  • Taxonomy code: 251J00000X , with the licence number:  RN00066865 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 602 336 066 . This is a "UBI" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 1346336591 . This is a "BUSINESS NPI" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 9047184 . This is a "DSHS PROVIDER" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com