Provider Demographics
NPI:1679250526
Name:ATTENTIVE CARE HOLDING LLC
Entity type:Organization
Organization Name:ATTENTIVE CARE HOLDING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPANIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-802-6812
Mailing Address - Street 1:4957 LAKEMONT BLVD SE UNIT 271
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-7801
Mailing Address - Country:US
Mailing Address - Phone:253-344-6224
Mailing Address - Fax:
Practice Address - Street 1:306 MAIN ST UNIT B
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-3136
Practice Address - Country:US
Practice Address - Phone:253-344-6224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care