PROVIDENCE HEALTH & SERVICES (NPI# 1609322528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609322528 |
Entity Type | Organization |
Organization Name | PROVIDENCE HEALTH & SERVICES |
Other Organization Name | D/B/A/ PROVIDENCE DOMINICARE |
Practice Address |
110 S. Third Street E. Chewelah WA 99109 |
Mailing Address |
Po Box 1070 Chewelah WA 99109-1070 |
Practice Telephone | 5099354925 |
Practice Fax Number | 5099354082 |
Mailing Telephone | 5099354925 |
Mailing Fax Number | 5099354082 |
Enumeration Date | 2016-08-31 |
Last Update Date | 2016-08-31 |
Authorized Official Name | MS. JOAN ELIZABETH SISCO (DIRECTOR) |
Authorized Official Telephone | 5099354925 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 253Z00000X | In Home Supportive Care | IHS.FS.60259664 | WA | Agencies |
Other Name | Type Code |
---|---|
d/b/a/ Providence DominiCare | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811201312 | Providence Health & Services | Internal Medicine | 715 S Washington, Suite A, Moscow, ID 83843-0000 | 2010-07-27 |
1720391659 | Providence Health & Services | Internal Medicine | 629 Jasmine St, Omak, WA 98841 | 2010-07-20 |
1114230042 | Providence Health & Services | Internal Medicine | 318 E Rowan Ave, 240, Spokane, WA 99207-1200 | 2010-07-20 |
1154539203 | Providence Health & Services | Internal Medicine | 1510 Division St Ste 200, Oregon City, OR 97045-1599 | 2007-05-21 |
1780742114 | Providence Health & Services | Internal Medicine | 1515 Portland Rd, Newberg, OR 97132-1844 | 2006-12-05 |
1831639731 | Providence Health & Services | Home Health Aide | 12800 Bothell Everett Hwy, Suite 290, Everett, WA 98208-6642 | 2017-02-27 |
1093056632 | Providence Health & Services | General Acute Care Hospital | 6801 Coldwater Canyon Ave, Suite 1a, North Hollywood, CA 91605-5162 | 2013-03-06 |
1689977159 | Providence Health & Services | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 700 W Ironwood Dr, Suite 350, Coeur D Alene, ID 83814-2656 | 2010-12-06 |
1245544584 | Providence Health & Services | Internal Medicine | 1550 S Pioneer Way, Pioneer Medical Center #250, Moses Lake, WA 98837-4613 | 2010-07-28 |
1457665945 | Providence Health & Services | Internal Medicine | 701 Lewiston Street, Cottonwood, ID 83522-0000 | 2010-07-27 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | PROVIDENCE HEALTH & SERVICES | 1801 Lind Ave Sw #9016, Renton, WA 98057 |
Washington State Corporations | PROVIDENCE HEALTH & SERVICES | 1801 Lind Ave Sw #9016, Renton, WA 98057 |
Oregon Corporations, Companies and Business Names | PROVIDENCE HEALTH & SERVICES - MONTANA | 1801 Lind Ave Sw, Renton, WA 98057 |
Colorado Business Entities | Providence Health & Services - Montana | Dept of Legal Affairs, 1801 Lind Ave. Sw, Renton, WA 98057 |
Washington State Corporations | PROVIDENCE HEALTH & SERVICES - MONTANA | 1801 Lind Ave Sw, Renton, WA 98057-3368 |
Colorado Business Entities | Providence Health & Services - Oregon | 1801 Lind Avenue, Sw, Renton, WA 98057-9016 |
Oregon Corporations, Companies and Business Names | PROVIDENCE HEALTH & SERVICES - OREGON | 1801 Lind Ave Sw #9016, Renton, WA 98057 |
System for Award Management (SAM) Entities | PROVIDENCE HEALTH & SERVICES - OREGON | 4400 Ne Halsey St Bldg 2 Ste 690, Portland, OR 97213-1545 |
Iowa Business Entities | PROVIDENCE HEALTH & SERVICES - OREGON | 1801 Lind Ave. Sw, Renton, WA 98057 |
Washington State Corporations | PROVIDENCE HEALTH & SERVICES - OREGON | 1801 Lind Ave Sw # 9016, Renton, WA 98057 |
Street Address |
110 S. THIRD STREET E. |
City | CHEWELAH |
State | WA |
Zip Code | 99109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639525157 | Shelley Gail Schreibman | Specialist | 101 N Park Street, Po, Chewelah, WA 99109 | 2016-05-13 |
1518361831 | David Stroyan | Pharmacist | 518 E Clay, New Health Programs, Chewelah, WA 99109 | 2014-10-15 |
1942554712 | Renee S Thompson | Psychologist | 208 E Clay St, Chewelah, WA 99109 | 2012-11-01 |
1356616759 | Paul Michael Cockerham | Physical Therapist | 101 N. Park St., Chewelah, WA 99109 | 2012-03-19 |
1669768479 | Lori S King | Veterinarian | 1505 N Pinebrook Dr, Chewelah, WA 99109 | 2011-06-21 |
1619268281 | Providence Physician Services Co | Family Medicine | 100 W. South Ave Chewelah, Chewelah, WA 99109 | 2011-04-29 |
1245557917 | Providence Physician Services Co | Obstetrics & Gynecology | 518 Clay Street, Chewelah, WA 99109 | 2010-04-21 |
1033340088 | Scott Anthony Lake | Dentist | 616 E Main, Chewelah, WA 99109 | 2009-08-06 |
1659560787 | Robin D Bowman | Counselor | 2264 C. Sand Canyon Road, Chewelah, WA 99109 | 2007-10-15 |
1225222888 | Deanna Dawn Norvell | Counselor | 106 S 2nd E, Chewelah, WA 99109 | 2007-08-28 |
Find all providers in zip 99109 |
Taxonomy Code | 253Z00000X |
Grouping | Agencies |
Classification | In Home Supportive Care |
An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366050833 | Cascade Connections | In Home Supportive Care | 1354 Pacific Place, Suite 101, Ferndale, WA 98248 | 2020-07-21 |
1154945236 | Bellevue Home Health & Care, LLC | In Home Supportive Care | 12951 Ne Bel Red Rd Ste 190, Bellevue, WA 98005-2698 | 2020-06-03 |
1467074039 | Sammy Muthora Mbaya Sr. | In Home Supportive Care | 2018 156th Ave Ne Ste 2018156, Bellevue, WA 98007-3825 | 2020-05-17 |
1659992220 | Day-to-day Home Care | In Home Supportive Care | 1205 W 43rd Ct, Kennewick, WA 99337-4519 | 2020-05-05 |
1386272664 | Enlightenment Home Care LLC | In Home Supportive Care | 3609 Apollo St Se, Lacey, WA 98503-7135 | 2020-03-31 |
1407487556 | Heart 2 Heart Homecare LLC | In Home Supportive Care | 16300 Ordway Dr Se, Yelm, WA 98597-9462 | 2020-01-28 |
1326678210 | Mhe Investments | In Home Supportive Care | 2821 Northup Way Ste 225, Bellevue, WA 98004-1497 | 2020-01-21 |
1518507813 | Caycare, Inc | In Home Supportive Care | 2723 E Main, Puyallup, WA 98372-3165 | 2020-01-14 |
1649813072 | Helping Hand Home Care LLC | In Home Supportive Care | 131 S Apple Blossom Dr Unit 121, Chelan, WA 98816-8827 | 2019-10-17 |
1487204954 | Adams Place LLC | In Home Supportive Care | 20 Clearview Dr, Longview, WA 98632-5391 | 2019-09-17 |
Find all providers with the same taxonomy |
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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.