NPIMap

Organization Active NPI

Pope'S Kids Place

  • Adult Care Home Facility
  • Centralia, WA
National Provider Identifier
1093378358
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
POPE'S KIDS PLACE
Practice address
230 Washington Way BLDG B
Centralia, WA 98531-9225
Phone
(360) 736-9178
Fax
(360) 736-8312
NPI assigned
Apr 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Authorized official

Name
Shirley Billings
Title
Executive Director
Phone
(360) 736-9178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

230 Washington Way BLDG B
Centralia, WA 98531-9225

Mailing address

230 Washington Way
Centralia, WA 98531-9225
Phone (360) 736-9178

Other names 1

  • Vivian's House Young Adult Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pope'S Kids Place4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

230 Washington Way
Bldg B
Centralia, WA 98531
Phone (360) 736-9178

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1093378358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 WASHINGTON WAY",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319225",
            "telephone_number": "360-736-9178",
            "fax_number": "360-736-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 WASHINGTON WAY BLDG B",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319225",
            "telephone_number": "360-736-9178",
            "fax_number": "360-736-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPE'S KIDS PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "BILLINGS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-736-9178"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vivian's House Young Adult Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centralia, WA

Sources for this page

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