MEDICARE: MAGENTA CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1215666557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAGENTA CARE LLC

Provider Business Mailing Address
First Line	:	2010 TERRY AVE APT 4502
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98121-3236
Country	:	US
Telephone Number	:	206-737-1219
Fax Number	:

Provider Business Practice Location Address
First Line	:	2010 TERRY AVE APT 4502
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98121-3236
Country	:	US
Telephone Number	:	206-737-1219
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LATICE HOLLINGSWORTH
Credential	:
Telephone Number	:	206-737-1219

Provider Enumeration Date	:	06/09/2022
Last Update Date	:	06/30/2025

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