PROVIDENCE HEALTH & SERVICES - WA (NPI# 1821240425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821240425 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES - WA |
| Other Organization Name | PROVIDENCE ADULT DAY HEALTH |
| Practice Address |
6018 N Astor St Spokane WA 99208-1107 |
| Practice Telephone | 5094822475 |
| Practice Fax Number | 5094822490 |
| Mailing Telephone | 5094822475 |
| Mailing Fax Number | 5094822490 |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |
| Authorized Official Name | MR. JIM LIPPOLD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5094822475 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 425223 | 05 |
| Other Name | Type Code |
|---|---|
| PROVIDENCE ADULT DAY HEALTH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215189808 | Providence Health & Services - Wa | Home Health | 1000 N Argonne Rd, Spokane Valley, WA 99212 | 2008-10-15 |
| 1750783759 | Providence Health & Services - Wa | Pharmacy | 916 Pacific Ave, Everett, WA 98201-4147 | 2014-09-22 |
| 1972927267 | Providence Health & Services - Wa | Emergency Response System Companies | 2731 Wetmore Ave, Suite 500, Everett, WA 98201-3571 | 2014-02-07 |
| 1770877227 | Providence Health & Services - Wa | General Practice | 1830 Bickford Ave, Suite 211, Snohomish, WA 98290-1749 | 2011-06-01 |
| 1639468259 | Providence Health & Services - Wa | Orthopaedic Surgery | 1717 13th St, Suite 401, Everett, WA 98201-1621 | 2011-04-05 |
| 1225335425 | Providence Health & Services - Wa | Surgery | 1330 Rockefeller Ave, Ste 520, Everett, WA 98201-1684 | 2011-02-24 |
| 1649402231 | Providence Health & Services - Wa | Social Worker | 916 Pacific Ave, 7th Floor, Everett, WA 98201-4147 | 2009-08-14 |
| 1861622557 | Providence Health & Services - Wa | Social Worker | 12800 Bothell Everett Hwy, Suite 110, Everett, WA 98208-6642 | 2009-07-16 |
| 1265669451 | Providence Health & Services - Wa | Clinic/Center | 101 W 8th Ave, Women's Health Center, Spokane, WA 99204-2307 | 2009-06-16 |
| 1669616363 | Providence Health & Services - Wa | Family Medicine | 4112 Harbour Pointe Blvd Sw, Suite 100, Mukilteo, WA 98275-5457 | 2009-04-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Providence Health & Services - Washington | 1801 Lind Ave. Sw, #9016, Renton, WA 98057 |
| Street Address |
6018 N ASTOR ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99208-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194887588 | Providence Health Care | Respite Care | 6018 N Astor St, Spokane, WA 99208-1107 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043787161 | Bonnie Rose Spencer | Social Worker | E 44 Cozza, Spokane, WA 99208 | 2018-10-26 |
| 1235617515 | Melissa Dawn Scholl | Massage Therapist | 906 E Country Hill Ct, Spokane, WA 99208 | 2018-07-30 |
| 1043706583 | Healthy Schools Washington, Pllc | Pediatrics | 1028 West Rosewood Ave, Spokane, WA 99208 | 2018-07-09 |
| 1467943720 | Simone Ferguson | Student in an Organized Health Care Education/Training Program | 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 | 2018-05-22 |
| 1912496035 | Ascend Network Corp | Counselor | 3711 W Woodside, Spokane, WA 99208 | 2018-05-03 |
| 1023522216 | Cherrywood Place-spokane, LLC | Assisted Living Facility | 100 East Dalke Ave, Spokane, WA 99208 | 2017-11-27 |
| 1881118792 | Annie Kamau | Registered Nurse | 5920 W Lonewolf, Spokane, WA 99208 | 2017-08-01 |
| 1609303908 | Jeffery Anthony Glinski | Counselor | 3754 W. Indian Trail Rd., Spokane, WA 99208 | 2017-05-17 |
| 1487186938 | Mukhlis Azar | Physical Therapy Assistant | 305 E Sierra Ct, Spokane, WA 99208 | 2017-04-03 |
| 1154796241 | Daisy O'dell | Marriage & Family Therapist | 515 W. Francis Ave., Suite #8, Spokane, WA 99208 | 2015-12-01 |
| Find all providers in zip 99208 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366999823 | Inspirations Dance Studio | Respite Care | 3621 E Springfield Ave, Spokane, WA 99202-4641 | 2016-09-01 |
| 1194887588 | Providence Health Care | Respite Care | 6018 N Astor St, Spokane, WA 99208-1107 | 2006-12-14 |
| 1619058997 | Yfa Connections | Respite Care | 22 S Thor St, Spokane, WA 99202-4855 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871125153 | Andonian Homecare LLC | Respite Care | 32700 Pacific Hwy S Ste 10, Federal Way, WA 98003-6446 | 2020-02-05 |
| 1326412214 | Navjot Kaur | Respite Care | 2020 Division St., Bellingham, WA 98225-3524 | 2015-11-16 |
| 1467852301 | Circle of Friends, Inc. | Respite Care | 121 107th Ave Ne, Bellevue, WA 98004 | 2014-08-28 |
| 1568890762 | Utopia In Home Care Solution | Respite Care | 14100 Linden Ave N Apt 418, Seattle, WA 98133-7165 | 2013-10-24 |
| 1225465610 | Auburn School District | Respite Care | 7702 195th Avenue Ct E, Bonney Lake, WA 98391-7159 | 2013-10-01 |
| 1275814121 | Kydd At Heart Adult Family Home LLC | Respite Care | 4810 18th Ave Se, Ste 2, Lacey, WA 98503-2652 | 2011-09-06 |
| 1003027350 | Cascade Inn, Lp | Respite Care | 11613 Se 7th St, Vancouver, WA 98683-5213 | 2007-05-25 |
| 1992331995 | Integrity Care & Staffing Inc. | Respite Care | 1455 Nw Leary Way Ste 400, Seattle, WA 98107-5138 | 2020-03-21 |
| 1386177285 | Epic Spectrum LLC | Respite Care | 2110 Iron St, Bellingham, WA 98225-4123 | 2017-04-06 |
| 1720449143 | Blue Mountain Therapeutic Riding | Respite Care | 1280 Lowden Gardena Rd, Touchet, WA 99360-9632 | 2016-03-12 |
| 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.