NPIMap

Organization Active NPI

Department of Social and Health Services

Doing business as Olympic Heritage Behavioral Health

  • Mental Illness Community Based Residential Treatment Facility
  • Tukwila, WA
National Provider Identifier
1457138760
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
DEPARTMENT OF SOCIAL AND HEALTH SERVICES
Doing business as
Olympic Heritage Behavioral Health
Practice address
12844 Military Rd S
Tukwila, WA 98168-3045
Phone
(253) 260-0644
NPI assigned
Sep 11, 2023
Organization subpart
Yes
Parent organization
DEPARTMENT OF SOCIAL AND HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Daniel Davis
Title
Chief Executive Officer
Phone
(206) 395-0401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

12844 Military Rd S
Tukwila, WA 98168-3045

Mailing address

12844 Military Rd S
Tukwila, WA 98168-3045
Phone (206) 395-0500

Other names 1

  • Olympic Heritage Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lynden School District16 organizations share this tax ID, including this one
Part of
Lynden School District

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1457138760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12844 MILITARY RD S",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683045",
            "telephone_number": "206-395-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12844 MILITARY RD S",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683045",
            "telephone_number": "253-260-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF SOCIAL AND HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPARTMENT OF SOCIAL AND HEALTH SERVICES",
        "enumeration_date": "2023-09-11",
        "last_updated": "2025-08-08",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "206-395-0401"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Heritage Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.