Organization Active NPI

Senior Services for South Sound

  • Adult Day Care Clinic/Center
  • Olympia, WA
National Provider Identifier
1083005367
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
DNA Issued in WA
Legal business name
SENIOR SERVICES FOR SOUTH SOUND
Practice address
222 Columbia St NW
Olympia, WA 98501-8208
Phone
(360) 586-6181
Fax
(360) 586-7408
NPI assigned
Feb 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Authorized official

Name
Eileen McKenziesullivan
Title
Executive Director
Phone
(360) 586-6181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X DNA WA Primary

Addresses

Primary practice location

222 Columbia St NW
Olympia, WA 98501-8208

Mailing address

222 Columbia St NW
Olympia, WA 98501-8208
Phone (360) 586-6181

National Provider Directory

National Provider Directory

Locations

222 Columbia St NW
Olympia, WA 98501
Phone (360) 586-6181

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1083005367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 COLUMBIA ST NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985018208",
            "telephone_number": "360-586-6181",
            "fax_number": "360-586-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 COLUMBIA ST NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985018208",
            "telephone_number": "360-586-6181",
            "fax_number": "360-586-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR SERVICES FOR SOUTH SOUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "MCKENZIESULLIVAN",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-586-6181"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "WA",
            "license": "DNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.