Healthcare Provider Details

I. General information

NPI: 1982580809
Provider Name (Legal Business Name): RAINIER HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4205 SW 335TH PL
FEDERAL WAY WA
98023-2951
US

IV. Provider business mailing address

4205 SW 335TH PL
FEDERAL WAY WA
98023-2951
US

V. Phone/Fax

Practice location:
  • Phone: 253-426-0776
  • Fax:
Mailing address:
  • Phone: 253-426-0776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SHANTE'ASIA TRAYLOR
Title or Position: ADMINISTRATOR
Credential:
Phone: 253-365-2657