Organization Active NPI

South Sound Cares LLC

  • In Home Supportive Care Agency
  • Olympia, WA
National Provider Identifier
1275450892
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SOUTH SOUND CARES LLC
Practice address
520 Lilly Rd NE BLDG 2
Olympia, WA 98506-5255
Phone
(564) 250-4200
Fax
(360) 353-4148
NPI assigned
Jul 3, 2026
Last updated
Jul 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Authorized official

Name
Trevor Stantus
Title
Owner
Phone
(564) 250-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

520 Lilly Rd NE BLDG 2
Olympia, WA 98506-5255

Mailing address

520 Lilly Rd NE BLDG 2
Olympia, WA 98506-5255
Phone (564) 250-4200

National Provider Directory

National Provider Directory

Locations

520 Lilly Rd NE
Bldg 2
Olympia, WA 98506
Phone (530) 429-2096

NPI Registry JSON

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

{
    "created_epoch": "1783036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783036800000",
    "number": "1275450892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 LILLY RD NE BLDG 2",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065255",
            "telephone_number": "564-250-4200",
            "fax_number": "360-353-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 LILLY RD NE BLDG 2",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065255",
            "telephone_number": "564-250-4200",
            "fax_number": "360-353-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SOUND CARES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-03",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A",
        "authorized_official_last_name": "STANTUS",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "564-250-4200"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.