Healthcare Provider Details

I. General information

NPI: 1538070578
Provider Name (Legal Business Name): COLLABORATAM CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7016 15TH AVE NW UNIT 103
SEATTLE WA
98117-5589
US

IV. Provider business mailing address

7016 15TH AVE NW UNIT 103
SEATTLE WA
98117-5589
US

V. Phone/Fax

Practice location:
  • Phone: 206-327-6101
  • Fax: 206-327-6104
Mailing address:
  • Phone: 206-327-6101
  • Fax: 206-327-6104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANNE MATTHIESEN
Title or Position: OWNER
Credential: CNA
Phone: 206-327-6101