Foundation of Homeless & Poverty Management

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

FOUNDATION OF HOMELESS & POVERTY MANAGEMENT

Practice address

2741 Wheaton Way
Bremerton, WA 98310-3344

Phone

(360) 627-7018

Fax

(360) 627-7253

NPI assigned

Sep 6, 2023

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Diana M Sullivan

Title

Chief of Operation

Phone

(360) 627-7018

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1245016039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1724",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983831724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 WHEATON WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103344",
            "telephone_number": "360-627-7018",
            "fax_number": "360-627-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION OF HOMELESS & POVERTY MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF OF OPERATION",
        "authorized_official_telephone_number": "360-627-7018",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forest Ridge Health - Bremerton LLC (Forest Ridge Health & Rehabilitation Center)
• Paige Forhan
• Felicia Fortin
• Kathrin Bires Fortner, PT
• Madison Kristine Fortney
• Ki'Jha Foust
• Sadie Fowler
• Tamara Fowler, LMP
• Jazma Fox-Heino
• Jane Scott Fradet, PT

• Voluntary or Charitable Agency in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Voluntary or Charitable Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.