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TATYANA GUDISHVILI RN
NPI 1407591472
Custodial Care Facility - Adult Care Home in Vancouver, WA

Active since May 03, 2022
22300 NE 58TH ST, VANCOUVER, WA 98682(360) 852-3884(360) 558-7996 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 25, 2022, May 3, 2022 (2 updates tracked since 2022).

About Tatyana Gudishvili Rn NPPES

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

TATYANA GUDISHVILI RN (NPI 1407591472) is an individual adult care home provider in Vancouver, Washington, licensed in Washington (754775) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1407591472
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameTATYANA GUDISHVILICredential: RN
Location Address22300 NE 58TH STVancouver, WA 98682-9046
Mailing Address22300 Ne 58th StVancouver, WA 98682-9046 · (360) 852-3884 · Fax (360) 558-7996
Phone(360) 852-3884
Fax(360) 558-7996
Sole ProprietorYes
Enumeration DateMay 3, 2022
Last NPPES UpdateMay 25, 20222 updates tracked since enumeration
NPPES CertifiedMay 25, 2022
✔ NPI 1407591472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in WA · 754775
Definition
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN00149858 (WA)
22300 NE 58TH ST, Vancouver, WA 98682
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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.

AGING WITH CARE LLC
Custodial Care Facility (Adult Care Home)
22300 NE 58TH ST
VANCOUVER, WA 98682
Clark County (360) 852-3884

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 Tatyana Gudishvili's NPI number?

The NPI number for Tatyana Gudishvili is 1407591472. It was assigned to this individual provider in the NPPES registry on May 3, 2022.

Where is Tatyana Gudishvili located?

Tatyana Gudishvili practices at 22300 NE 58th St, Vancouver, WA 98682. The listed phone number is (360) 852-3884.

What is Tatyana Gudishvili's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Tatyana Gudishvili was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.