Organization Active NPI

Cascade Medical Supply Inc

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Redmond, WA
National Provider Identifier
1639160229
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
602 158 743 Issued in WA
Legal business name
CASCADE MEDICAL SUPPLY INC
Practice address
14727 NE 87TH St
Redmond, WA 98052-6500
Phone
(866) 433-0504
Fax
(866) 433-3306
NPI assigned
Nov 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
Theodore M Hirsch
Title
VP of Operations
Phone
(800) 445-9622

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X WA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 602 158 743 WA Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X WA

Addresses

Primary practice location

14727 NE 87TH St
Redmond, WA 98052-6500

Mailing address

PO Box 681646
Franklin, TN 37068-1646
Phone (615) 771-8839

Other identifiers 1

IdentifierTypeStateIssuer
9061854MedicaidWA

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1639160229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681646",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681646",
            "telephone_number": "615-771-8839",
            "fax_number": "615-550-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14727 NE 87TH ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980526500",
            "telephone_number": "866-433-0504",
            "fax_number": "866-433-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "HIRSCH",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "800-445-9622"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "WA",
            "license": "602 158 743",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9061854",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.