MEDICARE: CARE PLUS HOME HEALTH INC

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	251J00000X	Nursing Care Agency	RN00066865	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	602 336 066	OTHER	WA	UBI
2	1346336591	OTHER	WA	BUSINESS NPI
3	9047184	OTHER	WA	DSHS PROVIDER

General Provider Information

NPI Number	:	1639403413
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE PLUS HOME HEALTH INC

Provider Business Mailing Address
First Line	:	3377 BETHEL RD SE
Second Line	:	#107 PMB 195
City	:	PORT ORCHARD
State	:	WA
Zip	:	98366-5608
Country	:	US
Telephone Number	:	360-373-8016
Fax Number	:	360-616-2775

Provider Business Practice Location Address
First Line	:	1730 POTTERY AVE
Second Line	:	SUITE 100
City	:	PORT ORCHARD
State	:	WA
Zip	:	98366-2508
Country	:	US
Telephone Number	:	360-373-8016
Fax Number	:	360-616-2775

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. MAUREEN A BARTA
Credential	:	RN
Telephone Number	:	360-373-8016

Provider Enumeration Date	:	09/25/2009
Last Update Date	:	09/25/2009

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