Organization
CARE IN HOME LLC
Active
Other names
Home Instead
Organization subpart
No
Provider details
NPI number
Authorized official
GUS VANDERKOLK (CO-OWNER)
(425) 549-3100
Entity
Organization
Contact information
Practice address
909 SE EVERETT MALL WAY STE C302, EVERETT, WA 98208-3745
(425) 549-3100
(425) 458-2366
Mailing address
909 SE EVERETT MALL WAY STE C302, EVERETT, WA 98208-3745
(425) 549-3100
(425) 458-2366
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2168537
—
WA
Enumeration date
02/24/2021
Last updated
02/24/2021
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