Provider Demographics
NPI:1639403413
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:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARTA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:360-373-8016
Mailing Address - Street 1:3377 BETHEL RD SE
Mailing Address - Street 2:#107 PMB 195
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:360-616-2775
Practice Address - Street 1:1730 POTTERY AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98366-2508
Practice Address - Country:US
Practice Address - Phone:360-373-8016
Practice Address - Fax:360-616-2775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-25
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00066865251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA602 336 066OtherUBI
WA1346336591OtherBUSINESS NPI
WA9047184OtherDSHS PROVIDER