OrganizationActive
Success at Home, LLC
NPI 1306701404 · Registered Nurse · Everett, WA
Provider details
- NPI number
- 1306701404
- Entity type
- Organization
- Primary specialty
- Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Ralene Vaughn, Clinical Director & Managing Member(206) 484-4405
Specialties & taxonomies
Nursing Service Providers
Practice location
4829 Fowler Ave
Everett, WA 98203-3215
Phone: (206) 484-4405
Approximate (ZIP-level) locationGet directions
Mailing address
24 Creighton Ct
Martinsburg, WV 25404-7475
Registry dates
- Enumerated
- 2025-12-19
- Last updated
- 2025-12-19
- Certified
- 2025-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.