PCJ Enterprises LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

60796571 Issued in WA

Legal business name

PCJ ENTERPRISES LLC

Practice address

733 7TH Ave Ste 107
Kirkland, WA 98033-5657

Phone

(425) 968-5357

Fax

(425) 298-4659

NPI assigned

Mar 17, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Paul Healy

Title

Owner

Phone

(425) 968-5357

Specialties & licenses 1

Addresses

Other names 1

• FirstLight Home Care Eastside Seattle Doing business as

Locations

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

{
    "created_epoch": "1521244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1073016846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 7TH AVE STE 107",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335657",
            "telephone_number": "425-968-5357",
            "fax_number": "425-298-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 7TH AVE STE 107",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335657",
            "telephone_number": "425-968-5357",
            "fax_number": "425-298-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCJ ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-17",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "HEALY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-968-5357",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "60796571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstLight Home Care Eastside Seattle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Kirkland, WA
• Providers in Kirkland, 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 Mar 22, 2018; 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.