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PNW KUPUNA CARE, LLC

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Company Details

Legal Name: PNW KUPUNA CARE, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 20th 2020
Expiration date: 30 Apr 2026
UBI Number: 604 600 170
ZIP code: 98382
City: Sequim
County: CLALLAM
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 203 S 4TH AVE, SEQUIM, WA, 98382, UNITED STATES

Contact Details

E-Mail: KATHLEEN.AMAZONA@HOMEINSTEAD.COM
Phone Number: +1 808-756-8876

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
PNW KUPUNA CARE, LLC DBA HOME INSTEAD SENIOR CARE Registered Agent 203 S 4TH AVE, SEQUIM, WA, 98382-3719, UNITED STATES

Key Officers & Management

Name Role Address
KATHLEEN AMAZONA-SCHMIDT Executor 1130 W SPRUCE CT, SEQUIM, WA, 98382-3225, UNITED STATES
ISAAC SCHMIDT Executor 1130 W SPRUCE CT, SEQUIM, WA, 98382-3225, UNITED STATES
KATHLEEN AMAZONA-SCHMIDT Governing Person 1130 W SPRUCE CT, SEQUIM, WA, 98382-3225, UNITED STATES

National Provider Identifier

NPI Number:
1477163236
Certification Date:
2020-08-06

Authorized Person:

Name:
ISAAC ADAM SCHMIDT
Role:
CHEIF OPERATION OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

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