<Unavail>

LBN: Pristine House Llc
<Unavail> is an health care organization with primary practice located at 25223 146Th Ave Se , Kent WA 98042-3410. The organization recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing & Custodial Care Facilities / Adult Care Home. Nursing & Custodial Care Facilities / Adult Care Home is the primary health care specialty. Pristine House Llc can be contacted via phone (253) 236-5352, or through Khadka, Anita via phone (425) 835-6512.

Contact Information

Primary practice address
25223 146Th Ave Se Kent WA 98042-3410
Phone: (253) 236-5352
Fax: (253) 236-8730
Website:
Map and Directions
Authorized official contact:
Name: Khadka, Anita Registered Nurse (RN)
Phone: (425) 835-6512

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1295357259
LBN Legal business name Pristine House Llc
DBA Doing business as <Unavail>
Authorized official Khadka, Anita Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2020
Last updated Aug 27th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295357259 NPPES
Washington MEDICAID 2139440

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