NPIMap

Organization Active NPI

Martha & Mary Home and Community Services

  • In Home Supportive Care Agency
  • Poulsbo, WA
National Provider Identifier
1033509252
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
60123737 Issued in WA
Legal business name
MARTHA & MARY HOME AND COMMUNITY SERVICES
Practice address
19160 Front Street NE
Poulsbo, WA 98370-0127
Phone
(360) 779-7500
NPI assigned
Jan 26, 2015
Organization subpart
Yes
Parent organization
MARTHA & MARY LUTHERAN SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Mr. Chad Michael Solvie
Title
Ceo
Phone
(360) 779-7500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 60123737 WA
Home Health Agency 251E00000X 60123737 WA
In Home Supportive Care Agency 253Z00000X 60123737 WA Primary

Addresses

Primary practice location

19160 Front Street NE
Poulsbo, WA 98370-0127

Mailing address

PO Box 127
Poulsbo, WA 98370-0127
Phone (360) 779-7500

Other names 1

  • Martha & Mary AT HOME Other name

National Provider Directory

National Provider Directory
Part of
Martha Mary Lutheran Servi

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1033509252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983700127",
            "telephone_number": "360-779-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19160 FRONT STREET NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983700127",
            "telephone_number": "360-779-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA & MARY HOME AND COMMUNITY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARTHA & MARY LUTHERAN SERVICES",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "SOLVIE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-779-7500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WA",
            "license": "60123737",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "60123737",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "60123737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martha & Mary AT HOME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.