Organization Active NPI

Village at Home

  • In Home Supportive Care Agency
  • Friday Harbor, WA
National Provider Identifier
1366350647
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
VILLAGE AT HOME
Practice address
535 Market St Ste E
Friday Harbor, WA 98250-7937
Phone
(360) 378-2857
Fax
(360) 378-2856
NPI assigned
Aug 28, 2026
Last updated
Aug 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SAN JUAN COUNTY PUBLIC HOSPITAL DISTRICT NO 1As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Stephen Anthony Wambsganss
Title
Finance Director/Treasurer
Phone
(360) 378-2857

Specialties & licenses 1

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

Addresses

Primary practice location

535 Market St Ste E
Friday Harbor, WA 98250-7937

Mailing address

PO Box 370
Friday Harbor, WA 98250-0370
Phone (360) 378-2857

National Provider Directory

National Provider Directory
Tax ID family
San Juan County Public Hospital District No 12 organizations share this tax ID, including this one
Part of
San Juan County Public Hospital District No 1

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1366350647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982500370",
            "telephone_number": "360-378-2857",
            "fax_number": "360-378-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MARKET ST STE E",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982507937",
            "telephone_number": "360-378-2857",
            "fax_number": "360-378-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE AT HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN JUAN COUNTY PUBLIC HOSPITAL DISTRICT NO 1",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "WAMBSGANSS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "FINANCE DIRECTOR/TREASURER",
        "authorized_official_telephone_number": "360-378-2857"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friday Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.