The Fidelis Group Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

603-431-168 Issued in WA

Legal business name

THE FIDELIS GROUP INC

Doing business as

FirstLight Home Care of South Sound
FirstLight HomeCare -- South Sound

Practice address

921 Lakeridge Way SW Ste 203
Olympia, WA 98502-6081

Phone

(360) 489-1621

Fax

(360) 339-4476

NPI assigned

Nov 10, 2014

Organization subpart

No

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

Authorized official

Name

Sarah Lane, HM 60525018

Title

President

Phone

(360) 481-8147

Specialties & licenses 1

Addresses

Other names 2

• FirstLight Home Care of South Sound Doing business as
• FirstLight HomeCare -- South Sound Doing business as

Locations

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1548666175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 LAKERIDGE WAY SW STE 203",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985026081",
            "telephone_number": "360-489-1621",
            "fax_number": "360-339-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 LAKERIDGE WAY SW STE 203",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985026081",
            "telephone_number": "360-489-1621",
            "fax_number": "360-339-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FIDELIS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-481-8147",
        "authorized_official_credential": "HM 60525018"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "603-431-168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstLight Home Care of South Sound",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FirstLight HomeCare -- South Sound",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FirstLight HomeCare -- South Sound",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Olympia, WA
• Providers in Olympia, 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 8, 2023; 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.