CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON (NPI# 1962549154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962549154 |
| Entity Type | Organization |
| Organization Name | CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON |
| Other Organization Name | CCS LONG TERM CARE SYSTEM |
| Practice Address |
1323 Yakima Ave Tacoma WA 98405-4457 |
| Practice Telephone | 8778701582 |
| Practice Fax Number | 2532726356 |
| Mailing Telephone | 8778701582 |
| Mailing Fax Number | 2532726356 |
| Enumeration Date | 2007-01-30 |
| 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 | 251E00000X | Home Health | IS-247 | WA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | HOME HEALTH HOME CARE | IS-247 | 01 |
| WA | HOME CARE | IS-247 | 01 |
| Other Name | Type Code |
|---|---|
| CCS Long Term Care System | Doing Business As Name - 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 |
| 1245376235 | Catholic Community Services of Western Washington | Foster Care Agency | 1323 S. Yakima Ave, Tacoma, WA 98405 | 2007-01-29 |
| 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 YAKIMA AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-4457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770119828 | Suzanne Marie Parenteau | Counselor | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2020-03-20 |
| 1104452606 | Giovanna Mccullough | Counselor | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2020-03-16 |
| 1467827386 | Sean Williams | Counselor | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2015-12-03 |
| 1174885073 | James Thomas Anderson | Counselor | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2012-06-15 |
| 1679835573 | Sam Joseph Erwin-svoboda | Counselor | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2012-06-15 |
| 1063774966 | Nicholas John Leider | Counselor | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2012-06-15 |
| 1497030704 | Matt R Gullett | Counselor | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2011-10-18 |
| 1023242740 | Miranda Lynn Plyler | Counselor | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2009-05-08 |
| 1487878716 | Cathy Kirk | Marriage & Family Therapist | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2007-04-11 |
| 1801925417 | Susan Gail Mix | Counselor | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2007-03-02 |
| Find all providers in the same location | ||||
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710410964 | Emerald Healthcare, Inc. | Home Health | 4002 Tacoma Mall Blvd Ste 204a, Tacoma, WA 98409-7702 | 2017-04-05 |
| 1689870529 | Advanced Health Care | Home Health | 7047 S D St, Suite A, Tacoma, WA 98408-6112 | 2007-06-26 |
| 1487868451 | Res-care Washington, Inc. | Home Health | 747 St Helens Ave, Suite 200, Tacoma, WA 98402-3719 | 2007-05-09 |
| 1801825187 | Gentiva Certified Healthcare Corp. | Home Health | 4020 S 56th St, Suite 101, Tacoma, WA 98409-2615 | 2006-06-30 |
| 1033104575 | Advanced Health Care, Inc. | Home Health | 9116 Gravelly Lake Dr Sw, Suite B1, Tacoma, WA 98499-3148 | 2005-09-12 |
| 1609868413 | Good Samaritan Hospital | Home Health | 3901 S Fife St, Tacoma, WA 98409-7309 | 2005-08-17 |
| 1699311506 | Symbol Healthcare, Inc. | Home Health | 4002 Tacoma Mall Blvd Ste 204, Tacoma, WA 98409-7702 | 2019-11-26 |
| 1881023026 | Envision Home Health of Washington LLC | Home Health | 1818 S Union Ave Ste 1a, Tacoma, WA 98405 | 2013-11-07 |
| 1912242678 | Symbol Healthcare, Inc. | Home Health | 4002 Tacoma Mall Blvd Ste 204, Tacoma, WA 98409-7702 | 2012-12-06 |
| 1407190614 | Maxim Healthcare Services, Inc | Home Health | 4301 S Pine St, 5th Floor, Tacoma, WA 98409-7264 | 2012-11-15 |
| Find all providers in TACOMA | ||||
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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.