Provider Demographics
NPI:1265603161
Name:COMPASSION ADULT CARE HOME
Entity type:Organization
Organization Name:COMPASSION ADULT CARE HOME
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RN/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:J
Authorized Official - Last Name:UY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-653-2273
Mailing Address - Street 1:822 168TH PL NE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-3748
Mailing Address - Country:US
Mailing Address - Phone:425-653-2273
Mailing Address - Fax:425-644-2039
Practice Address - Street 1:822 168TH PL NE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98008-3748
Practice Address - Country:US
Practice Address - Phone:425-653-2273
Practice Address - Fax:425-644-2039
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPASSION ADULT CARE HOME INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA697700311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home