Provider Demographics
NPI:1649877952
Name:CHASE HOUSE LLC
Entity type:Organization
Organization Name:CHASE HOUSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:K
Authorized Official - Last Name:WAINAINA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:206-432-6732
Mailing Address - Street 1:7006 OPAL CT SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98498-6408
Mailing Address - Country:US
Mailing Address - Phone:253-328-6999
Mailing Address - Fax:
Practice Address - Street 1:7006 OPAL CT SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98498-6408
Practice Address - Country:US
Practice Address - Phone:253-328-6999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home