CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON (NPI# 1245376235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245376235 |
| Entity Type | Organization |
| Organization Name | CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON |
| Other Organization Name | TAHOMA CENTER FOSTER CARE |
| Practice Address |
1323 S. Yakima Ave Tacoma WA 98405 |
| Practice Telephone | 8003723697 |
| Practice Fax Number | 2535723193 |
| Mailing Telephone | 8003723697 |
| Mailing Fax Number | 2535723193 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2018-10-15 |
| Authorized Official Name | STEPHANIE M. THELEN (COMPLIANCE & POLICY ANALYST) |
| Authorized Official Telephone | 2537613898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | UBI | 601098379 | 01 |
| Other Name | Type Code |
|---|---|
| Catholic Community Services-Southwest | Doing Business As Name - Organization |
| Tahoma Center Foster Care | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487026076 | Catholic Community Services of Western Washington | Clinic/Center | 631 Strander Blvd Ste A, Tukwila, WA 98188 | 2015-10-22 |
| 1124396932 | Catholic Community Services of Western Washington | Community/Behavioral Health | 224 E Wishkah St, Aberdeen, WA 98520-6513 | 2011-12-07 |
| 1699804435 | Catholic Community Services of Western Washington | Clinic/Center | 702 S 14th St, Tacoma, WA 98405-4407 | 2007-03-05 |
| 1962549154 | Catholic Community Services of Western Washington | Home Health | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2007-01-30 |
| 1093864589 | Catholic Community Services of Western Washington | Clinic/Center | 1001 N J St, Tacoma, WA 98403 | 2007-01-10 |
| 1841348380 | Catholic Community Services of Western Washington | Clinic/Center | 1229 W Smith St, Kent, WA 98032-4317 | 2007-01-08 |
| 1184786451 | Catholic Community Services of Western Washington | Community/Behavioral Health | 1918 Everett Ave, Everett, WA 98201-3607 | 2006-12-14 |
| 1548332190 | Catholic Community Services of Western Washington | Clinic/Center | 1133 Railroad Ave, Bellingham, WA 98225-5055 | 2006-11-15 |
| 1750849592 | Catholic Community Services of Western Washington | Clinic/Center | 5410 N 44th St, Tacoma, WA 98407-3799 | 2019-03-12 |
| 1427580646 | Catholic Community Services of Western Washington | Clinic/Center | 2625 Wheaton Way, Suite B, Bremerton, WA 98310-3371 | 2017-03-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON | 1904 Se Division Street, Portland, OR 97202 |
| Washington State Corporations | CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON | 100 23rd Ave S, Seattle, WA 98144 |
| Street Address |
1323 S. YAKIMA AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518210905 | Comprehensive Life Resources | Foster Care Agency | 10122 Sales Rd S, Lakewood, WA 98499-8770 | 2012-10-23 |
| 1255819983 | Nguyen Services, LLC | Foster Care Agency | 216 Ne 151st Ave, Vancouver, WA 98684-8171 | 2018-08-03 |
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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.