NPIMap

Organization Active NPI

Pope'S Kids Place

  • Home Health Agency
  • Centralia, WA
National Provider Identifier
1154535771
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
POPE'S KIDS PLACE
Practice address
230 Washington Way
Centralia, WA 98531-9325
Phone
(360) 736-9178
Fax
(360) 736-8312
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Authorized official

Name
Angela Dickson
Title
Executive Director
Phone
(360) 736-9178

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0015X
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

230 Washington Way
Centralia, WA 98531-9325

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
7123508MedicaidWA

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1154535771",
    "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",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319325",
            "telephone_number": "360-736-9178",
            "fax_number": "360-736-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPE'S KIDS PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-736-9178"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7123508",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 21, 2022; 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.