Pacific Northwest Care, LLC.

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

PACIFIC NORTHWEST CARE, LLC.

Practice address

29252 Scenic Dr NE
Poulsbo, WA 98370-9327

Phone

(360) 360-2350

NPI assigned

May 15, 2024

Organization subpart

No

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

Authorized official

Name

Kenneth Jay Vanderdoes

Title

Governor

Phone

(360) 710-7067

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1114776879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19689 7TH AVE NE # 339",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708091",
            "telephone_number": "360-710-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29252 SCENIC DR NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709327",
            "telephone_number": "360-360-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NORTHWEST CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "VANDERDOES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "GOVERNOR",
        "authorized_official_telephone_number": "360-710-7067"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Eye Care of Poulsbo PS
• Pacific Eyecare of Poulisbo PS
• Pacific Eyecare of Poulsbo PS
• Pacific Eyecare of Poulsbo PS
• Pacific Medical Imaging Consultants, Inc
• Pacifica Medicine
• Melisa C Parish, M.S.
• Ivy Lynn Marie Parker
• Michael R Parker, MD
• Anselm A Parlatore, MD

• Home Health Aide in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Home Health Aide in Washington

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