=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366596587
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEW CARE CONCEPTS, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/23/2007
-----------------------------------------------------
Last Update Date | 08/21/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2208 NW MARKET ST SUITE 520
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98107-4030
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-789-9054
-----------------------------------------------------
Fax | 206-781-9323
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2208 NW MARKET ST SUITE 520
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98107-4030
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-789-9054
-----------------------------------------------------
Fax | 206-781-9323
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MS. JAMIE A. HILLS
-----------------------------------------------------
Credential | R.N.
-----------------------------------------------------
Telephone | 206-789-9054
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | IS-142
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------