Paige Susan LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

IHS.FS.60151137 Issued in WA

Legal business name

PAIGE SUSAN LLC

Practice address

5501 4TH Ave S
Suite 203
Seattle, WA 98108-2447

Phone

(206) 420-4934

Fax

(206) 257-0372

NPI assigned

Oct 13, 2010

Organization subpart

No

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

Authorized official

Name

Raymond Fitzgibbon

Title

General Manager

Phone

(206) 420-4934

Specialties & licenses 1

Addresses

Other names 1

• Synergy HomeCare Seattle Doing business as

Locations

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1417267345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 4TH AVE S",
            "address_2": "SUITE 203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981082447",
            "telephone_number": "206-420-4934",
            "fax_number": "206-257-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 4TH AVE S",
            "address_2": "SUITE 203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981082447",
            "telephone_number": "206-420-4934",
            "fax_number": "206-257-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIGE SUSAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "FITZGIBBON",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "206-420-4934"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "IHS.FS.60151137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare Seattle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Farrell Pagulayan, PHD
• Emma Pahl, DPT
• Chalin Kao Pahn, MSW
• Jordan Pai Palimar, RN-BC
• Vinay Pai, MD
• Jordan Anderson Paige, LMT
• Keith T Paige, MD
• Michelle Louise Paige, RN
• Rachel Paige, DNP
• Rashaun Paige

• In Home Supportive Care Agency in Seattle, WA
• Providers in Seattle, WA by specialty
• In Home Supportive Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.