NPIMap

Organization Active NPI

Homewell Senior Care of South King County

  • In Home Supportive Care Agency
  • Federal Way, WA
National Provider Identifier
1649647579
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
IHS.FS.00000092 Issued in WA
Legal business name
HOMEWELL SENIOR CARE OF SOUTH KING COUNTY
Practice address
200 S 333Rd St Ste 140
Federal Way, WA 98003-6377
Phone
(253) 333-1906
Fax
(253) 333-0664
NPI assigned
Aug 26, 2015
Last updated
Aug 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Jan W Stafford
Title
Ceo
Phone
(253) 709-9290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X IHS.FS.00000092 WA Primary

Addresses

Primary practice location

200 S 333Rd St Ste 140
Federal Way, WA 98003-6377

Mailing address

200 S 333Rd St Ste 140
Federal Way, WA 98003-6377
Phone (253) 333-1906

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1649647579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S 333RD ST STE 140",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036377",
            "telephone_number": "253-333-1906",
            "fax_number": "253-333-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 333RD ST STE 140",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036377",
            "telephone_number": "253-333-1906",
            "fax_number": "253-333-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEWELL SENIOR CARE OF SOUTH KING COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-709-9290"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "IHS.FS.00000092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.