Active NPI
Pilgrim Care Inc.
- In Home Supportive Care Agency
- Federal Way, WA
National Provider Identifier
1376974188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 60388762
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.