NPIMap

Organization Active NPI

SSP Care Services, LLC

  • In Home Supportive Care Agency
  • Bellevue, WA
National Provider Identifier
1306289921
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
IHS.FS.60221570 Issued in WA
Legal business name
SSP CARE SERVICES, LLC
Practice address
10900 NE 4TH St
Suite 2300
Bellevue, WA 98004-5873
Phone
(206) 484-3144
Fax
(253) 590-2883
NPI assigned
Apr 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Authorized official

Name
Mrs. Sylviane G Potter
Title
President
Phone
(253) 638-3153

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IHS.FS.60221570 WA
In Home Supportive Care Agency 253Z00000X IHS.FS.60221570 WA Primary
Emergency Response System Companies 333300000X IHS.FS.60221570 WA
Private Vehicle 347C00000X IHS.FS.60221570 WA

Addresses

Primary practice location

10900 NE 4TH St
Suite 2300
Bellevue, WA 98004-5873

Mailing address

27661 188TH PL SE
Kent, WA 98042-5440
Phone (253) 638-3153

Other names 1

  • Home Helpers & Direct Link Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1306289921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27661 188TH PL SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980425440",
            "telephone_number": "253-638-3153",
            "fax_number": "253-590-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 NE 4TH ST",
            "address_2": "SUITE 2300",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045873",
            "telephone_number": "206-484-3144",
            "fax_number": "253-590-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSP CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "SYLVIANE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-638-3153",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "IHS.FS.60221570",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "IHS.FS.60221570",
            "primary": true
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": "WA",
            "license": "IHS.FS.60221570",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "WA",
            "license": "IHS.FS.60221570",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Helpers & Direct Link",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.