Organization Active NPI

Olympic Peninsula Home Care

  • In Home Supportive Care Agency
  • Port Angeles, WA
National Provider Identifier
1609520485
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OLYMPIC PENINSULA HOME CARE
Practice address
215 E 12TH St
Port Angeles, WA 98362-7813
Phone
(360) 477-4695
NPI assigned
Feb 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Jaimey Lee Quinonez
Title
Owner
Phone
(360) 477-4695

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

215 E 12TH St
Port Angeles, WA 98362-7813

Mailing address

215 E 12TH St
Port Angeles, WA 98362-7813
Phone (360) 477-4695

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1609520485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E 12TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983627813",
            "telephone_number": "360-477-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E 12TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983627813",
            "telephone_number": "360-477-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC PENINSULA HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "QUINONEZ",
        "authorized_official_first_name": "JAIMEY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-477-4695"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.