Organization Active NPI

Visiting Nurse Services of the Northwest

  • Home Health Agency
  • Mountlake Terrace, WA
National Provider Identifier
1053392738
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
IS464 Issued in WA
Legal business name
VISITING NURSE SERVICES OF THE NORTHWEST
Practice address
6100 219TH St SW
Suite 400
Mountlake Terrace, WA 98043-2222
Phone
(425) 778-2400
Fax
(425) 744-2497
NPI assigned
Nov 9, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Neal B Baum
Title
President & Chief Executive Officer
Phone
(425) 778-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IS464 WA Primary

Addresses

Primary practice location

6100 219TH St SW
Suite 400
Mountlake Terrace, WA 98043-2222

Mailing address

6100 219TH St SW
Suite 400
Mountlake Terrace, WA 98043-2222
Phone (425) 778-2400

Other identifiers 2

IdentifierTypeStateIssuer
HH729WAMedicaidAK
920070MedicaidWA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6100 219th St SW
Ste 400
Mountlake Terrace, WA 98043
Phone (425) 778-2400

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053392738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 219TH ST SW",
            "address_2": "SUITE 400",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432222",
            "telephone_number": "425-778-2400",
            "fax_number": "425-744-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 219TH ST SW",
            "address_2": "SUITE 400",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432222",
            "telephone_number": "425-778-2400",
            "fax_number": "425-744-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE SERVICES OF THE NORTHWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUM",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "425-778-2400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "IS464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HH729WA",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "920070",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.