Proactive Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PROACTIVE HOME CARE, LLC

Practice address

3121 E Madison St Ste 203B
Seattle, WA 98112-4258

Phone

(206) 926-9551

Fax

(206) 260-7256

NPI assigned

Feb 22, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Eric William KellyNPI 1255108007

Title

Owner and Ceo

Phone

(206) 926-9551

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric W Kelly

  • Student in an Organized Health Care Education/Training Program
  • Everett, WA
  • NPI 1255108007
  NPD Authorized official

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1063913267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 E MADISON ST STE 203B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124258",
            "telephone_number": "206-926-9551",
            "fax_number": "206-260-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 E MADISON ST STE 203B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124258",
            "telephone_number": "206-926-9551",
            "fax_number": "206-260-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "206-926-9551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528594082",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas R Pritchett, MD
• Lauren Elizabeth Pritting
• Denise Olivia Pritzl, LICSW
• Evelyn S Prizont, LMFTA
• Pro-Form Chiropractic and Sports Injury, PLLC
• Joshua David Proal, MD
• Fernando Diego Proano, M.D.
• Pablo R Proano, M.D.
• Jeffrey Lynn Probstfield, MD
• Nicholas J Procaccini, MD

• In Home Supportive Care Agency in Seattle, WA
• Providers in Seattle, WA by specialty
• In Home Supportive Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.