Organization Active NPI

Plymouth Housing Group

  • Case Management Agency
  • Seattle, WA
National Provider Identifier
1427530302
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PLYMOUTH HOUSING GROUP
Practice address
2113 3Rd Ave
Seattle, WA 98121-2321
Phone
(206) 374-9409
NPI assigned
Sep 6, 2018
Last updated
Dec 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Authorized official

Name
Kelli Larsen
Title
Chief Program Officer
Phone
(206) 374-9409

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2113 3Rd Ave
Seattle, WA 98121-2321

Mailing address

2113 3Rd Ave
Seattle, WA 98121-2321
Phone (206) 374-9409

National Provider Directory

National Provider Directory

Locations

2113 3rd Ave
Seattle, WA 98121
Phone (206) 374-9409

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1427530302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 3RD AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212321",
            "telephone_number": "206-374-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 3RD AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212321",
            "telephone_number": "206-374-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH HOUSING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICER",
        "authorized_official_telephone_number": "206-374-9409"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.