PROVIDENCE HEALTH & SERVICES - WA (NPI# 1215189808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215189808 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES - WA |
| Other Organization Name | PROVIDENCE VNA HOME HEALTH |
| Practice Address |
1000 N Argonne Rd Spokane Valley WA 99212 |
| Mailing Address |
Po Box 3989 Spokane WA 99220-3989 |
| Practice Telephone | 5095344300 |
| Practice Fax Number | 5095366464 |
| Mailing Telephone | 5095344300 |
| Mailing Fax Number | 5095366464 |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2018-08-02 |
| Authorized Official Name | DONALD WAYNE ANDERSON (DIR REIMBURSEMENT ADMINISTRATION) |
| Authorized Official Telephone | 4255255392 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9203902 | 05 |
| Other Name | Type Code |
|---|---|
| PROVIDENCE VNA HOME HEALTH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1003050709 | Providence Health & Services - Wa | Family Medicine | 4112 Harbour Pointe Blvd Sw, Suite100, 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 |
1000 N ARGONNE RD |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349013 | Louis Cerenzia | Physical Therapist | 1000 N Argonne Rd, Spokane Valley, WA 99212-2600 | 2019-10-31 |
| 1427613173 | Thao Linh Cat Le | Pharmacist | 1000 N Argonne Rd, Spokane Valley, WA 99212-2600 | 2019-05-08 |
| 1073029534 | Maygen Katherine Cardona | Pharmacist | 1000 N Argonne Rd, Spokane Valley, WA 99212-2600 | 2017-12-20 |
| 1336658475 | Brittany Marissa Croy | Pharmacist | 1000 N Argonne Rd, Spokane Valley, WA 99212-2600 | 2017-09-20 |
| 1881133775 | Nolan Koller | Pharmacist | 1000 N Argonne Rd, Spokane Valley, WA 99212-2600 | 2017-02-13 |
| 1538307475 | Colleen Sestero | Physical Therapist | 1000 N Argonne Rd, Spokane Valley, WA 99212-2600 | 2009-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750889580 | Melissa Lerai Lunsford | Massage Therapist | 1212 N Argonne Rd, Spokane Valley, WA 99212 | 2018-01-26 |
| 1225558539 | Paul James Hammerschmidt | Licensed Practical Nurse | 5600 E. 8th Avenue, Spokane Valley, WA 99212 | 2017-06-27 |
| 1497009302 | Ray A Schoessler | Pharmacist | 9009 E Trent Ave, Spokane, WA 99212 | 2012-10-30 |
| 1215205224 | Wchs Inc | Counselor | 4305 East Trent Avenue, Spokane, WA 99212 | 2011-12-05 |
| 1609159466 | Andrey V Altukhov | Specialist | 906 S. Park Rd, Spokane Valley, WA 99212 | 2011-09-27 |
| 1568674414 | Colleen Kirsten Monroe | Pharmacist | 5601 E Sprague, Spokane, WA 99212 | 2007-05-04 |
| 1205968534 | Jeremiah Michael Stevens | Naturopath | 1510 N Argonne Rd Ste G, Spokane Valley, WA 99212 | 2007-03-12 |
| 1104957547 | Lyudmila Larkin | Specialist | 8120 E. Vista Lane, Spokane, WA 99212 | 2007-03-08 |
| 1972613511 | Costco Wholesale Corporation | Pharmacy | 5601 E Sprague Ave, Spokane Valley, WA 99212 | 2006-08-30 |
| 1578519492 | Albertsons LLC | Pharmacy | 8851 E Trent Ave, Spokane Valley, WA 99212 | 2006-05-25 |
| Find all providers in zip 99212 | ||||
| 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 |
|---|---|---|---|---|
| 1174911606 | Family Home Care LLC | Home Health | 1716 N Union Rd, Spokane Valley, WA 99206-4834 | 2015-01-06 |
| 1346506805 | Visiting Angels | Home Health | 9207 E Mission Ave, Ste C, Spokane Valley, WA 99206-4048 | 2012-04-09 |
| 1528345519 | Coram Alternate Site Services, Inc. | Home Health | 5511 E 3rd Ave, Spokane Valley, WA 99212-0726 | 2011-11-04 |
| 1528298262 | Sunshine Home Health Care LLC | Home Health | 10428 E 9th Ave, Spokane Valley, WA 99206-3510 | 2009-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433481 | Malaika Home Care LLC | Home Health | 10518 N Russett Dr, Spokane, WA 99208-6729 | 2020-09-30 |
| 1619582632 | Flowing Water Venture Inc. | Home Health | 23453 16th Ave S Apt A304, Des Moines, WA 98198-8042 | 2020-09-15 |
| 1477163236 | Pnw Kupuna Care, LLC | Home Health | 203 S 4th Ave, Sequim, WA 98382-3719 | 2020-08-06 |
| 1538778295 | Eden Home Health of Clark County, LLC | Home Health | 4601 Ne 77th Ave Ste 300, Vancouver, WA 98662-6736 | 2020-07-29 |
| 1033736160 | Home Health Seattle LLC | Home Health | 19803 1st Ave S Ste 200, Normandy Park, WA 98148-2410 | 2020-07-06 |
| 1265053920 | Premier Care Services | Home Health | 13555 Ne Bel Red Rd Ste 113, Bellevue, WA 98005-2324 | 2020-05-04 |
| 1861011330 | Samuel Kihiu Njenga | Home Health | 3607 27th St Se, Puyallup, WA 98374-1716 | 2020-04-14 |
| 1972136745 | Tender Angels Home Care | Home Health | 11900 Ne 1st St Bldg G, Bellevue, WA 98005-3046 | 2020-02-19 |
| 1154953628 | Meliorahealthcare Pllc | Home Health | 17539 10th Ave Nw, Shoreline, WA 98177-3804 | 2020-02-12 |
| 1235786781 | Ahhpc, Inc. | Home Health | 907 W Boone Ave Ste B, Spokane, WA 99201-2503 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
| City | SPOKANE VALLEY |
| Zip Code | 99212 |
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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.