Active NPI
Puget Sound Home Health LLC
- Home Health Agency
- Lakewood, WA
National Provider Identifier
1265476881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- IS424
- Legal business name
- PUGET SOUND HOME HEALTH LLC
- Practice address
- 7714 Bridgeport Way W
Lakewood, WA 98499-8380 - Phone
- (253) 581-9410
- Fax
- (253) 581-9207
- NPI assigned
- Jun 15, 2006
- Last updated
- Oct 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shannon L Mays
- Title
- Administrator
- Phone
- (253) 581-9410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | IS424 | WA | Primary |
Addresses
Primary practice location
7714 Bridgeport Way W
Lakewood, WA 98499-8380
Mailing address
7714 Bridgeport Way W
Lakewood, WA 98499-8380
Phone (253) 581-9410
National Provider Directory
National Provider DirectoryLocations
3906 S 74th St
#101
Tacoma, WA 98409
Phone (253) 581-9410
7714 Bridgeport Way W
Tacoma, WA 98499
Phone (253) 581-9410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191196800000",
"number": "1265476881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7714 BRIDGEPORT WAY W",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984998380",
"telephone_number": "253-581-9410",
"fax_number": "253-581-9207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7714 BRIDGEPORT WAY W",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984998380",
"telephone_number": "253-581-9410",
"fax_number": "253-581-9207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUGET SOUND HOME HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-15",
"last_updated": "2007-10-01",
"status": "A",
"authorized_official_last_name": "MAYS",
"authorized_official_first_name": "SHANNON",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "253-581-9410",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "WA",
"license": "IS424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.