Provider Demographics
NPI:1346336591
Name:CARE PLUS HOME HEALTH INC
Entity Type:Organization
Organization Name:CARE PLUS HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:360-373-8016
Mailing Address - Street 1:3377 BETHEL RD SE STE 107
Mailing Address - Street 2:PMB195
Mailing Address - City:PORT ORCHARD
Mailing Address - State:WA
Mailing Address - Zip Code:98366-5608
Mailing Address - Country:US
Mailing Address - Phone:360-373-8016
Mailing Address - Fax:360-415-9124
Practice Address - Street 1:1950 POTTERY AVE STE 17
Practice Address - Street 2:
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98366-2501
Practice Address - Country:US
Practice Address - Phone:360-373-8016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9047184Medicaid