Healthcare Provider Details

I. General information

NPI: 1497673966
Provider Name (Legal Business Name): INLAND NORTH CARE PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12831 POWAY RD APT 413
POWAY CA
92064-4549
US

IV. Provider business mailing address

12831 POWAY RD APT 413
POWAY CA
92064-4549
US

V. Phone/Fax

Practice location:
  • Phone: 206-697-9417
  • Fax:
Mailing address:
  • Phone: 206-697-9417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MIHRETEAB YOHANNES SETEGN
Title or Position: OWNER
Credential:
Phone: 206-697-9417