Organization Active NPI

Puget Sound Home Health LLC

  • Home Health Agency
  • Lakewood, WA
National Provider Identifier
1265476881
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
IS424 Issued in WA
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.