INTERNATIONAL COMMUNITY HEALTH SERVICES (NPI# 1194223412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194223412 |
| Entity Type | Organization |
| Organization Name | INTERNATIONAL COMMUNITY HEALTH SERVICES |
| Other Organization Name | ICHS HEALTHY AGING & WELLNESS PROGRAM |
| Practice Address |
803 S Lane St Seattle WA 98104-3044 |
| Mailing Address |
Po Box 3007 Seattle WA 98114-3007 |
| Practice Telephone | 2067883759 |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2019-07-16 |
| Authorized Official Name | HERMES SHAHBAZIAN (CFO) |
| Authorized Official Telephone | 2067883618 |
| Is Organization Subpart | Y |
| Parent Organization Name | INTERNATIONAL COMMUNITY HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174200000X | Meals | Other Service Providers | ||
| N | 251T00000X | PACE Provider Organization | Agencies | ||
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities | ||
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| ICHS at Legacy House | Doing Business As Name - Organization |
| ICHS Healthy Aging & Wellness Program | Doing Business As Name - Organization |
| ICHS ID-PACE | Doing Business As Name - Organization |
| ICHS PACE | Doing Business As Name - Organization |
| Legacy House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376083741 | International Community Health Services | Optometrist | 718 8th Ave S, Seattle, WA 98104-3006 | 2017-03-03 |
| 1871110452 | International Community Health Services | Case Management | 720 8th Ave S, Seattle, WA 98104-3032 | 2020-06-30 |
| 1801299227 | International Community Health Services | Dentist | 16549 Aurora Ave N, Shoreline, WA 98133-5308 | 2014-09-30 |
| 1356757389 | International Community Health Services | Clinic/Center | 3639 Martin Luther King Jr Way S, Seattle, WA 98144-6847 | 2014-07-10 |
| 1992124747 | International Community Health Services | Family Medicine | 16549 Aurora Ave N, Shoreline, WA 98133-5308 | 2014-04-09 |
| 1275951295 | International Community Health Services | Dentist | 16549 Aurora Ave N, Shoreline, WA 98133-5308 | 2014-04-07 |
| 1003252636 | International Community Health Services | Dentist | 1050 140th Ave Ne, Bellevue, WA 98005-2972 | 2013-05-22 |
| 1114363157 | International Community Health Services | Family Medicine | 1050 140th Ave Ne, Bellevue, WA 98005-2972 | 2013-05-17 |
| 1538351085 | International Community Health Services | Psychologist | 3815 S Othello St, 2nd Fl., Seattle, WA 98118-3510 | 2007-08-17 |
| 1679765259 | International Community Health Services | Psychologist | 720 8th Ave S, Suite 100, Seattle, WA 98104-3032 | 2007-08-16 |
| Street Address |
803 S LANE ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-3044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558462788 | Annie Y Lam | Pharmacist | 803 S Lane St, Seattle, WA 98104-3044 | 2006-09-26 |
| 1669024527 | Ichs Pace | Meals | 803 S Lane St, Seattle, WA 98104-3044 | 2019-07-11 |
| 1356809339 | Martha Van Gelder | Occupational Therapist | 803 S Lane St, Seattle, WA 98104-3044 | 2019-03-08 |
| 1689805368 | Seattle Chinatown International District Preservation & Development Au | Assisted Living Facility | 803 S Lane St, Seattle, WA 98104-3044 | 2009-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134671662 | Huda Np, Pllc | Assisted Living Facility | 2851 14th Ave W, #101, Seattle, WA 98119-4606 | 2016-11-01 |
| 1790142636 | Csh Queen Anne Lessee, LLC | Assisted Living Facility | 100 Crockett St, Seattle, WA 98109-2514 | 2016-01-22 |
| 1720404510 | Fred Lind Manor | Assisted Living Facility | 1802 17th Ave, Seattle, WA 98122-2722 | 2014-03-17 |
| 1770910630 | Emeritus Corporation | Assisted Living Facility | 11501 15th Ave Ne, Seattle, WA 98125-6320 | 2013-10-08 |
| 1255766325 | Huntington Retirement Homes, Inc | Assisted Living Facility | 2615 Sw Barton St, Seattle, WA 98126-3951 | 2013-09-09 |
| 1114217932 | Era Care At I.c.h., Inc. | Assisted Living Facility | 2315 Ne 65th St, Seattle, WA 98115-7069 | 2011-04-13 |
| 1538459359 | University House At Wallingford, L.L.C. | Assisted Living Facility | 4400 Stone Way N, Seattle, WA 98103-7485 | 2011-04-13 |
| 1952691776 | Lakeshore Development Assoicates Lp | Assisted Living Facility | 11448 Rainier Ave S, Seattle, WA 98178-3940 | 2011-04-13 |
| 1861782773 | Aljoya Thornton Place, LLC | Assisted Living Facility | 450 Ne 100th St, Seattle, WA 98125-8024 | 2011-04-12 |
| 1316236144 | Northaven Assisted Living | Assisted Living Facility | 11045 8th Ave Ne, Seattle, WA 98125-6163 | 2011-04-01 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.