Organization Active NPI

Pilgrim Care Inc.

  • In Home Supportive Care Agency
  • Federal Way, WA
National Provider Identifier
1376974188
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
60388762 Issued in WA
Legal business name
PILGRIM CARE INC.
Practice address
402 S 333Rd St
Federal Way, WA 98003-6309
Phone
(253) 517-3130
Fax
(877) 260-6243
NPI assigned
Dec 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Mr. Leo Satriawan
Title
Principal
Phone
(253) 517-3130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 60388762 WA Primary

Addresses

Primary practice location

402 S 333Rd St
Federal Way, WA 98003-6309

Mailing address

402 S 333Rd St
Federal Way, WA 98003-6309
Phone (253) 517-3130

National Provider Directory

National Provider Directory

Locations

402 S 333rd St
Federal Way, WA 98003
Phone (253) 929-1530

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1376974188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S 333RD ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036309",
            "telephone_number": "253-517-3130",
            "fax_number": "877-260-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S 333RD ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036309",
            "telephone_number": "253-517-3130",
            "fax_number": "877-260-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILGRIM CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "SATRIAWAN",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "253-517-3130",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "60388762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

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