MR. VLADIMIR KUKSENKO
NPI 1003362328
Residential Treatment Facility, Physical Disabilities in Ferndale, WA

Q: What is Vladimir Kuksenko's NPI number?

The NPI number for Vladimir Kuksenko is 1003362328. It was assigned to this individual provider in the NPPES registry on August 28, 2016.

Q: What is Vladimir Kuksenko's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

Q: When was this NPI record last updated?

The NPPES record for Vladimir Kuksenko was last updated on August 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 28, 2016

1958 EATON AVE, FERNDALE, WA 98248(360) 318-5636 Get Directions Write a Review

NPPES record last updated: August 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Vladimir Kuksenko NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. VLADIMIR KUKSENKO (NPI 1003362328) is an individual residential treatment facility, physical disabilities provider in Ferndale, Washington, licensed in Washington (60525301) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1003362328

Entity TypeIndividualMale

Primary Taxonomy320700000X

Provider Legal NameMR. VLADIMIR KUKSENKO

Location Address1958 EATON AVEFerndale, WA 98248-9709

Mailing Address1958 Eaton AveFerndale, WA 98248 · (360) 318-5636

Phone(360) 318-5636

Sole ProprietorYes

Enumeration DateAugust 28, 2016

✔ NPI 1003362328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities

Taxonomy Code320700000X

License✔ Licensed in WA · 60525301

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

1958 EATON AVE, Ferndale, WA 98248

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vladimir Kuksenko's NPI number?

The NPI number for Vladimir Kuksenko is 1003362328. It was assigned to this individual provider in the NPPES registry on August 28, 2016.

Where is Vladimir Kuksenko located?

Vladimir Kuksenko practices at 1958 Eaton Ave, Ferndale, WA 98248. The listed phone number is (360) 318-5636.

What is Vladimir Kuksenko's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

When was this NPI record last updated?

The NPPES record for Vladimir Kuksenko was last updated on August 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.