Active NPI
Hospice of Kitsap County
- Community Based Hospice Care Agency
- Silverdale, WA
National Provider Identifier
1639415466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- IHS.FS.00000335
- Legal business name
- HOSPICE OF KITSAP COUNTY
- Practice address
- 10356 Silverdale Way NW
Silverdale, WA 98383-7674 - Phone
- (360) 698-4611
- Fax
- (360) 692-1893
- NPI assigned
- Dec 26, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David C Gommenginger
- Title
- Executive Director
- Phone
- (360) 698-4111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | IHS.FS.00000335 | WA | Primary |
Addresses
Primary practice location
10356 Silverdale Way NW
Silverdale, WA 98383-7674
Mailing address
PO Box 3416
Silverdale, WA 98383-3416
Phone (360) 698-4611
National Provider Directory
National Provider DirectoryLocations
570 Lebo Blvd
Bremerton, WA 98310
Phone (360) 377-0172
3100 NW Bucklin Hill Rd
Ste 201
Silverdale, WA 98383
Phone (360) 698-4611
10356 Silverdale Way NW
Silverdale, WA 98383
Phone (360) 698-4611
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ambulatory Care Registered Nurse
- Dillingham, AK
- NPI 1386472421
-
- Gerontology Nurse Practitioner
- Bremerton, WA
- NPI 1902178221
-
- Family Medicine Physician
- Kailua, HI
- NPI 1699859314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1356480000000",
"number": "1639415466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3416",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983833416",
"telephone_number": "360-698-4611",
"fax_number": "360-692-1893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10356 SILVERDALE WAY NW",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983837674",
"telephone_number": "360-698-4611",
"fax_number": "360-692-1893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICE OF KITSAP COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-26",
"last_updated": "2012-12-26",
"status": "A",
"authorized_official_last_name": "GOMMENGINGER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "360-698-4111",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "WA",
"license": "IHS.FS.00000335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.