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WILDERNESS SHORES NURSING, LLC
NPI 1073745113
Home Health in Maple Valley, WA

Active since August 21, 2009
25614 LAKE WILDERNESS LN SE, MAPLE VALLEY, WA 98038(206) 931-5284(425) 413-5116 Get Directions Write a Review

NPPES record last updated: August 21, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wilderness Shores Nursing, Llc NPPES

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

WILDERNESS SHORES NURSING, LLC (NPI 1073745113) is a healthcare organization registered as a home health in Maple Valley, Washington and active in the NPI registry since August 2009. The organization lists Shirley Ann Mcmonagle, Administrator, as its authorized official.

NPPES Registry Identity

NPI1073745113
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameWILDERNESS SHORES NURSING, LLC
Location Address25614 LAKE WILDERNESS LN SEMaple Valley, WA 98038-6019
Mailing Address25614 Lake Wilderness Ln SeMaple Valley, WA 98038-6019 · (206) 931-5284 · Fax (425) 413-5116
Phone(206) 931-5284
Fax(425) 413-5116
Organization SubpartNo
Authorized OfficialShirley Ann McmonagleAdministrator · (206) 931-5284
Enumeration DateAugust 21, 2009
✔ NPI 1073745113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in WA · IHS.FS.60055610
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
25614 LAKE WILDERNESS LN SE, Maple Valley, WA 98038
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILDERNESS SHORES SUPPLIES, LLC
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
25614 LAKE WILDERNESS LN SE
MAPLE VALLEY, WA 98038
King County (206) 931-5284

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 Wilderness Shores Nursing, LLC's NPI number?

The NPI number for Wilderness Shores Nursing, LLC is 1073745113. It was assigned to this organization in the NPPES registry on August 21, 2009.

Where is Wilderness Shores Nursing, LLC located?

Wilderness Shores Nursing, LLC is located at 25614 Lake Wilderness Ln SE, Maple Valley, WA 98038. The listed phone number is (206) 931-5284.

What is Wilderness Shores Nursing, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Wilderness Shores Nursing, LLC was last updated on August 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.