Organization Active NPI

Hospice of Kitsap County

  • Community Based Hospice Care Agency
  • Silverdale, WA
National Provider Identifier
1376546515
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
IS-335 Issued in WA
Legal business name
HOSPICE OF KITSAP COUNTY
Practice address
3100 NW Bucklin Hill Rd
Silverdale, WA 98383-8358
Phone
(360) 698-4611
Fax
(360) 692-1893
NPI assigned
May 23, 2005
Last updated
Aug 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Mr. Jim Pledger
Title
Director of Hospice
Phone
(360) 698-4611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X IS-335 WA Primary

Addresses

Primary practice location

3100 NW Bucklin Hill Rd
Silverdale, WA 98383-8358

Mailing address

PO Box 3416
Silverdale, WA 98383-3416
Phone (360) 698-4611

Other identifiers 1

IdentifierTypeStateIssuer
3990066MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1376546515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3416",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983833416",
            "telephone_number": "360-698-4611",
            "fax_number": "360-692-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NW BUCKLIN HILL RD",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838358",
            "telephone_number": "360-698-4611",
            "fax_number": "360-692-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF KITSAP COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "PLEDGER",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "DIRECTOR OF HOSPICE",
        "authorized_official_telephone_number": "360-698-4611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "WA",
            "license": "IS-335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3990066",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.