The Arc of Southwest Washington

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

THE ARC OF SOUTHWEST WASHINGTON

Practice address

101 E 8TH Street
Ste 220
Vancouver, WA 98660

Phone

(360) 254-1562

Fax

(360) 759-4921

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Craig Angelo

Title

Executive Director

Phone

(360) 254-1562

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• PRIDE for Kids Other name

Tax ID family

Arc of Clark County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Arc of Clark County

  • Developmentally Disabled Services Day Training Agency
  • Vancouver, WA
  • NPI 1376872929
  NPD tax ID

Locations

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1194935213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2608",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98668",
            "telephone_number": "360-254-1562",
            "fax_number": "360-759-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 8TH STREET",
            "address_2": "STE 220",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98660",
            "telephone_number": "360-254-1562",
            "fax_number": "360-759-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF SOUTHWEST WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "ANGELO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-254-1562",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "WA",
            "license": "601138292",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7104771",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026234",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIDE for Kids",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• In Home Supportive Care Agency in Vancouver, WA
• Providers in Vancouver, 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 May 31, 2024; 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.