Providence Health & Services - Washington

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Doing business as

Prov Hospice & H C of Snohomish Cty

Practice address

1615 75TH St SW Ste 210
Everett, WA 98203-6293

Phone

(425) 261-4800

Fax

(425) 261-4868

NPI assigned

Sep 14, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Donald W Anderson Jr.

Title

Assistant Secretary Enrollment

Phone

(425) 358-9786

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PROV HOSPICE & H C OF SNOHOMISH CTY Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• CP Snohomish County Wa, LLC

  dba Providence at Home with Compassus Hospice Care, Snohomish County

  • Home Health Agency
  • Everett, WA
  • NPI 1720800857

  Sold to, 2025-02-27

  CMS change of ownership

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1174856892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 75TH ST SW STE 210",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982036293",
            "telephone_number": "425-261-4800",
            "fax_number": "425-261-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 75TH ST SW STE 210",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982036293",
            "telephone_number": "425-261-4800",
            "fax_number": "425-261-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH & SERVICES - WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY ENROLLMENT",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9003856",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROV HOSPICE & H C OF SNOHOMISH CTY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PROV HOSPICE & H C OF SNOHOMISH CTY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Providence Health & Services - Wa (Providence Lifeline)
• Providence Health & Services - Washington (PMG NW WA MC Walk In Clinic)
• Providence Health & Services - Washington (Providence Hospice & Home Care of Snohomish County)
• Providence Health & Services - Washington (Prov Hospice & H C of Snohomish Cty)
• Providence Health & Services - Washington (PMG NW WA N Everett Internal Medicine)
• Providence Health & Services - Washington (PMG NW WA Ever Vascular Surg)
• Providence Health & Services - Washington (Providence Physician Group Dexascan PHCC)
• Providence Health & Services - Washington (PMG NW WA MC Pediatrics)
• Providence Health & Services - Washington (PMG NW Wa Cranial Spine and Joint Clinic)
• Providence Health & Services - Washington (PMG NW WA Physiatry)

• Home Health Agency in Everett, WA
• Providers in Everett, 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 May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.