NPIMap

Organization Active NPI

International Community Health Services

  • Assisted Living Facility
  • Seattle, WA
National Provider Identifier
1194223412
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
INTERNATIONAL COMMUNITY HEALTH SERVICES
Practice address
803 S Lane St
Seattle, WA 98104-3044
Phone
(206) 788-3759
NPI assigned
Feb 1, 2018
Organization subpart
Yes
Parent organization
INTERNATIONAL COMMUNITY HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Hermes Shahbazian
Title
Cfo
Phone
(206) 788-3618

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
PACE Provider Organization 251T00000X
Adult Day Care Clinic/Center 261QA0600X
Health Service Clinic/Center 261QH0100X
Assisted Living Facility 310400000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

803 S Lane St
Seattle, WA 98104-3044

Mailing address

PO Box 3007
Seattle, WA 98114-3007

Other names 4

  • ICHS Healthy Aging & Wellness Program Doing business as
  • ICHS PACE Doing business as
  • ICHS at Legacy House Doing business as
  • Legacy House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
International Community Health Services33 organizations share this tax ID, including this one
Part of
International Community Health Services

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1194223412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3007",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981143007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 S LANE ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043044",
            "telephone_number": "206-788-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERNATIONAL COMMUNITY HEALTH SERVICES",
        "enumeration_date": "2018-02-01",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "SHAHBAZIAN",
        "authorized_official_first_name": "HERMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "206-788-3618"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICHS Healthy Aging & Wellness Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ICHS Healthy Aging & Wellness Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ICHS PACE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ICHS at Legacy House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Legacy House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.