DEBORAH NORDBERG NAC
NPI 1114589033
Custodial Care Facility - Adult Care Home in Yakima, WA

Active since July 01, 2019
203 S 77TH AVE, YAKIMA, WA 98908(509) 966-1075 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Custodial Care Facility
  • Adult Care Home

About DEBORAH NORDBERG

This page provides the complete NPI Profile along with additional information for Deborah Nordberg, a provider established in Yakima, Washington with a medical specialization in Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1114589033 assigned on July 2019. The practitioner's primary taxonomy code is 311ZA0620X with license number 729500 (WA). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1114589033 Verify this NPI
Provider Name
DEBORAH NORDBERG NAC
Gender
Female
Entity Type
Individual
Location Address
203 S 77TH AVE YAKIMA, WA 98908
Location Phone
(509) 966-1075
Mailing Address
203 S 77TH AVE YAKIMA, WA 98908
Mailing Phone
(509) 966-1075
Is Sole Proprietor?
Yes
Enumeration Date
07-01-2019
Last Update Date
07-01-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
729500
License State
WA
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility
203 S 77TH AVE
YAKIMA, WA 98908

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114589033, enumerated as an "individual" on July 01, 2019.

The provider is located at 203 S 77TH AVE YAKIMA, WA 98908 and the phone number is (509) 966-1075.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.