Provider Demographics
NPI:1154566768
Name:ACREN HEALTH CARE, INC
Entity type:Organization
Organization Name:ACREN HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SOBKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-778-9102
Mailing Address - Street 1:P.O. BOX 65161
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155
Mailing Address - Country:US
Mailing Address - Phone:425-778-9102
Mailing Address - Fax:
Practice Address - Street 1:618 142ND PLACE SW
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98087-6407
Practice Address - Country:US
Practice Address - Phone:425-778-9102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPMA2319171R00000X
WANPOL NR 00000586251E00000X
WANPOL.NR.00000586251J00000X
WANPOL NR 0000586251J00000X
WANR00000586251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing Care
No171R00000XOther Service ProvidersInterpreterGroup - Multi-Specialty
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA171R00000XOtherINTERPRETER