Healthcare Provider Details

I. General information

NPI: 1114398864
Provider Name (Legal Business Name): RO HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2015
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 W NICKERSON ST STE 200
SEATTLE WA
98119-1639
US

IV. Provider business mailing address

440 N BARRANCA AVE # 1884
COVINA CA
91723-1722
US

V. Phone/Fax

Practice location:
  • Phone: 888-552-9775
  • Fax:
Mailing address:
  • Phone: 888-552-9775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: ABIGAIL POOBALA-CHANDRAN
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 888-552-9775