Organization Active NPI

Vision House

  • Case Management Agency
  • Renton, WA
National Provider Identifier
1073356002
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
VISION HOUSE
Practice address
450 Bremerton Ave NE Ste 100
Renton, WA 98059-5059
Phone
(425) 228-6356
Fax
(425) 430-9590
NPI assigned
Jun 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Derek Sciba
Title
Executive Director
Phone
(425) 228-6356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

450 Bremerton Ave NE Ste 100
Renton, WA 98059-5059

Mailing address

PO Box 2951
Renton, WA 98056-0951
Phone (425) 228-6356

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1073356002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2951",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980560951",
            "telephone_number": "425-228-6356",
            "fax_number": "425-430-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BREMERTON AVE NE STE 100",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980595059",
            "telephone_number": "425-228-6356",
            "fax_number": "425-430-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "SCIBA",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "425-228-6356"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.