Organization Active NPI

Hospice of Kitsap County

  • Community Based Hospice Care Agency
  • Silverdale, WA
National Provider Identifier
1639415466
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
IHS.FS.00000335 Issued in WA
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

Updated by the provider on Dec 26, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.