Sycamore Glen SL

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SYCAMORE GLEN SL

Practice address

2818 N Sullivan Rd Ste 100-37
Spokane Valley, WA 99216-5198

Phone

(509) 655-0121

Fax

(509) 463-0893

NPI assigned

Jun 30, 2026

Organization subpart

No

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

Authorized official

Name

Michelle Stevens, RN

Title

Director

Phone

(509) 332-9152

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1144147331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990370272",
            "telephone_number": "509-655-0121",
            "fax_number": "509-463-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 N SULLIVAN RD STE 100-37",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992165198",
            "telephone_number": "509-655-0121",
            "fax_number": "509-463-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE GLEN SL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "509-332-9152",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Mitchell Sweeten, R.PH
• Jalisa Sweowat, SUDPT
• Alina Swift
• Kristina Kaneshiro Swiggum, MD
• Roxanne Kristine Swofford, LMP
• Synergy Healthcare Inc.
• Zachary Michael Szabrowicz, MS
• T Daniel Dibble MD PC
• Teresa Taft, M.S.W. LICSW
• Tia Rae Tague, LMP

• In Home Supportive Care Agency in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• In Home Supportive Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.