Olympic Senior Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

IHS.FS.00000147 Issued in WA

Legal business name

OLYMPIC SENIOR CARE, LLC

Practice address

675 N 5TH Ave Ste 1B
Sequim, WA 98382-3066

Phone

(360) 681-2511

Fax

(360) 681-0350

NPI assigned

Dec 24, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Kemp Boughner

Title

Owner

Phone

(360) 681-2511

Specialties & licenses 1

Addresses

Other names 1

• Home Instead Senior Care Doing business as

Locations

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

{
    "created_epoch": "1419379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419379200000",
    "number": "1487042552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 N 5TH AVE STE 1B",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823066",
            "telephone_number": "360-681-2511",
            "fax_number": "360-681-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 N 5TH AVE STE 1B",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823066",
            "telephone_number": "360-681-2511",
            "fax_number": "360-681-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-24",
        "last_updated": "2014-12-24",
        "status": "A",
        "authorized_official_last_name": "BOUGHNER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "KEMP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-681-2511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "IHS.FS.00000147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Olympic Psychiatric Care PS
• Olympic Voice & Vocology
• Kirsten Mary Lynn Oswood, MASSAGE THERAPIST
• Pacific Primary Care - Sequim Inc
• Pacific Primary Care PC
• Pacific Vascular Incorporated

• All providers in Sequim, WA
• In Home Supportive Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2014; 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.