Wings of Grace Home Care Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

WINGS OF GRACE HOME CARE SERVICES LLC

Practice address

23719 96TH St E
Buckley, WA 98321-7481

Phone

(253) 862-0062

Fax

(253) 862-0596

NPI assigned

Feb 28, 2025

Organization subpart

No

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

Authorized official

Name

Jerilyn Sawyer

Title

Administation

Phone

(253) 862-0062

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1417754060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23719 96TH ST E",
            "city": "BUCKLEY",
            "state": "WA",
            "postal_code": "983217481",
            "telephone_number": "253-862-0062",
            "fax_number": "253-862-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23719 96TH ST E",
            "city": "BUCKLEY",
            "state": "WA",
            "postal_code": "983217481",
            "telephone_number": "253-862-0062",
            "fax_number": "253-862-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF GRACE HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "SAWYER",
        "authorized_official_first_name": "JERILYN",
        "authorized_official_title_or_position": "ADMINISTATION",
        "authorized_official_telephone_number": "253-862-0062"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Buckley, WA
• Providers in Buckley, 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 Feb 28, 2025; 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.