NPIMap

Organization Active NPI

Lifeline Connections Health Homes

  • Community/Behavioral Health Agency
  • Vancouver, WA
National Provider Identifier
1396257101
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CO.60429455 Issued in WA
Legal business name
LIFELINE CONNECTIONS HEALTH HOMES
Practice address
1601 E Fourth Plain Blvd BLDG 17
Suite A212
Vancouver, WA 98661
Phone
(360) 397-8246
Fax
(360) 397-8250
NPI assigned
Nov 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Kinh Reynolds
Title
Cfo
Phone
(360) 397-8246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CO.60429455 WA Primary

Addresses

Primary practice location

1601 E Fourth Plain Blvd BLDG 17
Suite A212
Vancouver, WA 98661

Mailing address

PO Box 1678
Vancouver, WA 98668-1678
Phone (360) 397-8246

National Provider Directory

National Provider Directory
Tax ID family
Lifeline Connections3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1396257101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1678",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986681678",
            "telephone_number": "360-397-8246",
            "fax_number": "360-397-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E FOURTH PLAIN BLVD BLDG 17",
            "address_2": "SUITE A212",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98661",
            "telephone_number": "360-397-8246",
            "fax_number": "360-397-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE CONNECTIONS HEALTH HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "KINH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "360-397-8246"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "CO.60429455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.