Provider Demographics
NPI:1336446426
Name:NAMASTE OF WA, INC
Entity Type:Organization
Organization Name:NAMASTE OF WA, INC
Other - Org Name:VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MAKAYLAA
Authorized Official - Middle Name:
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-828-4500
Mailing Address - Street 1:12020 113TH AVE N E
Mailing Address - Street 2:SUITE 180
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-6920
Mailing Address - Country:US
Mailing Address - Phone:425-828-4500
Mailing Address - Fax:425-828-4505
Practice Address - Street 1:12020 113TH AVE NE
Practice Address - Street 2:SUITE 180
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-6938
Practice Address - Country:US
Practice Address - Phone:425-828-4500
Practice Address - Fax:425-828-4505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-25
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIHS.FS.00000022253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care