National Provider Identifier Database

MIRANDA CARE ADULT FAMILY HOME
Custodial Care Facility

A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.


Contact Information

MIRANDA CARE ADULT FAMILY HOME
601 N 39TH ST
YAKIMA, WA98901-1222
Phone: 509-577-0423
Fax: 509-577-0635
Website:
Specialty Taxonomy Code
* Custodial Care Facility 311Z00000X

* Indicates primary specialty

NPI Profile & details for MIRANDA CARE ADULT FAMILY HOME

NPI Number 1528239753
Legal business name
LBN
MIRANDA CARE ADULT FAMILY HOME
Authorized official NICOLE REESE - (REGISTERED NURSE OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/16/2008
Last updated 03/16/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: A208501
  • WA Other: 311ZA0620X ADULT CARE HOME

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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