Healthcare Provider Details

I. General information

NPI: 1609764026
Provider Name (Legal Business Name): JANE KARUTHAI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JANE KARUTHAI HCA

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10603 E SPRINGFIELD AVE
SPOKANE VALLEY WA
99206-3851
US

IV. Provider business mailing address

10603 E SPRINGFIELD AVE
SPOKANE VALLEY WA
99206-3851
US

V. Phone/Fax

Practice location:
  • Phone: 509-514-2598
  • Fax: 509-278-9012
Mailing address:
  • Phone: 509-514-2598
  • Fax: 509-278-9012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number758008
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: