NPIMap

Organization Active NPI

Advisacare Healthcare Solutions, Inc.

Doing business as AdvisaCare

  • Home Health Agency
  • Fife, WA
National Provider Identifier
1003007105
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
602586915 Issued in WA
Legal business name
ADVISACARE HEALTHCARE SOLUTIONS, INC.
Doing business as
AdvisaCare
Practice address
3600 Port of Tacoma Rd Ste 511
Fife, WA 98424-1044
Phone
(253) 922-5501
Fax
(253) 922-5308
NPI assigned
Aug 5, 2007
Last updated
Aug 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lise' Skogen
Title
President
Phone
(616) 464-1117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 602586915 WA Primary

Addresses

Primary practice location

3600 Port of Tacoma Rd Ste 511
Fife, WA 98424-1044

Mailing address

4234 Cascade Rd SE
Grand Rapids, MI 49546-8384
Phone (616) 464-1117

Other names 1

  • AdvisaCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advisacare Healthcare Solutions Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4234 Cascade Rd SE
Grand Rapids, MI 49546
Phone (616) 464-1117

3600 Port of Tacoma Rd
Ste 511
Fife, WA 98424
Phone (253) 922-5501

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1003007105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 CASCADE RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468384",
            "telephone_number": "616-464-1117",
            "fax_number": "616-464-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 PORT OF TACOMA RD STE 511",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984241044",
            "telephone_number": "253-922-5501",
            "fax_number": "253-922-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVISACARE HEALTHCARE SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "SKOGEN",
        "authorized_official_first_name": "LISE'",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-464-1117"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "602586915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdvisaCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fife, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.