Healthcare Provider Details

I. General information

NPI: 1770567240
Provider Name (Legal Business Name): RAINIER HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SOUTH LANE ST
SEATTLE WA
98144
US

IV. Provider business mailing address

1600 SOUTH LANE ST
SEATTLE WA
98144
US

V. Phone/Fax

Practice location:
  • Phone: 206-726-1118
  • Fax: 206-726-1077
Mailing address:
  • Phone: 206-726-1118
  • Fax: 206-726-1077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberFL00056652
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberFL00056652
License Number StateWA

VIII. Authorized Official

Name: MR. JOHN T TRAN
Title or Position: PRESIDENT
Credential: RPH MBA
Phone: 206-726-1118