NPIMap

Organization Active NPI

Skagit Hospice Services, LLC

Doing business as Palliative Care of the Northwest

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Mount Vernon, WA
National Provider Identifier
1144690876
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
IHS.FS.00000437 Issued in WA
Legal business name
SKAGIT HOSPICE SERVICES, LLC
Doing business as
Palliative Care of the Northwest
Practice address
227 Freeway Dr
Suite a
Mount Vernon, WA 98273-2886
Phone
(360) 814-5550
Fax
(360) 814-5591
NPI assigned
Oct 7, 2015
Last updated
Oct 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Authorized official

Name
Tom C. Litaker
Title
President
Phone
(360) 814-8346

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X IHS.FS.00000437 WA
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X IHS.FS.00000437 WA Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X IHS.FS.00000437 WA
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X IHS.FS.00000437 WA
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X IHS.FS.00000437 WA

Addresses

Primary practice location

227 Freeway Dr
Suite a
Mount Vernon, WA 98273-2886

Mailing address

227 Freeway Dr
Suite a
Mount Vernon, WA 98273-2886
Phone (360) 814-5550

Other names 1

  • Palliative Care of the Northwest Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2031 Hospital Dr
#A
Sedro Woolley, WA 98284
Phone (360) 856-7742

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1144690876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 FREEWAY DR",
            "address_2": "SUITE A",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732886",
            "telephone_number": "360-814-5550",
            "fax_number": "360-814-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 FREEWAY DR",
            "address_2": "SUITE A",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732886",
            "telephone_number": "360-814-5550",
            "fax_number": "360-814-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAGIT HOSPICE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "LITAKER",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-814-8346"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "IHS.FS.00000437",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "WA",
            "license": "IHS.FS.00000437",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "IHS.FS.00000437",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "IHS.FS.00000437",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "IHS.FS.00000437",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palliative Care of the Northwest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, WA

Sources for this page

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