Consumer Direct Care Network Washington, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CONSUMER DIRECT CARE NETWORK WASHINGTON, LLC

Practice address

612 Woodland Square Loop SE
Lacey, WA 98503-1069

Phone

(866) 438-8591

NPI assigned

Mar 11, 2020

Last updated

Jun 8, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

CONSUMER DIRECT HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Ben Bledsoe

Title

President/Ceo

Phone

(406) 532-2001

Specialties & licenses 2

Addresses

Part of

Consumer Direct Holdings Inc

Locations

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1124653993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CONSUMER DIRECT WAY",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598085037",
            "telephone_number": "406-532-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 WOODLAND SQUARE LOOP SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031069",
            "telephone_number": "866-438-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSUMER DIRECT CARE NETWORK WASHINGTON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONSUMER DIRECT HOLDINGS, INC.",
        "enumeration_date": "2020-03-11",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "BLEDSOE",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "406-532-2001"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James Vladimir Contris, DC
• Linda Coombs
• Tyler Brian Coombs
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• Heidi Cope

• Home Health Agency in Lacey, WA
• Providers in Lacey, WA by specialty
• Home Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.