Organization Active NPI

Security Management and Integration Company, Inc.

  • Home Health Agency
  • Tacoma, WA
National Provider Identifier
1255667291
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SECURITY MANAGEMENT AND INTEGRATION COMPANY, INC.
Practice address
1423 E 29TH St
Suite 317
Tacoma, WA 98404-4008
Phone
(859) 372-6618
Fax
(888) 575-7414
NPI assigned
Oct 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Authorized official

Name
Mr. Cecil Avery, CISO, CISM
Title
Chief Executive Officer
Phone
(859) 372-6618

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X
Secured Medical Transport (VAN) 343800000X
Non-emergency Medical Transport (VAN) 343900000X
Private Vehicle 347C00000X
Respite Care 385H00000X

Addresses

Primary practice location

1423 E 29TH St
Suite 317
Tacoma, WA 98404-4008

Mailing address

1423 East 29TH St
Suite 317
Tacoma, WA 98404
Phone (859) 372-6618

National Provider Directory

National Provider Directory

Locations

1423 E 29th St
Ste 317
Tacoma, WA 98404
Phone (859) 372-6618

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1255667291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 EAST 29TH ST",
            "address_2": "SUITE 317",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98404",
            "telephone_number": "859-372-6618",
            "fax_number": "888-575-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 E 29TH ST",
            "address_2": "SUITE 317",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984044008",
            "telephone_number": "859-372-6618",
            "fax_number": "888-575-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURITY MANAGEMENT AND INTEGRATION COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "CECIL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "859-372-6618",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CISO, CISM"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.