Organization Active NPI

Specialty Services 2 LLC

Doing business as Ssii LLC

  • Substance Abuse Rehabilitation Facility
  • Port Angeles, WA
National Provider Identifier
1649668666
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
603230607 Issued in WA
Legal business name
SPECIALTY SERVICES 2 LLC
Doing business as
Ssii LLC
Practice address
825 E 5TH St
Port Angeles, WA 98362-3818
Phone
(360) 477-4790
NPI assigned
Dec 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Dana Mundy
Title
Controller
Phone
(509) 209-8822

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 603230607 WA Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

825 E 5TH St
Port Angeles, WA 98362-3818

Mailing address

PO Box 141106
Spokane Valley, WA 99214-1106
Phone (509) 232-5766

Other names 1

  • SSII LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Abhs Speciality Services 2 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1649668666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141106",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992141106",
            "telephone_number": "509-232-5766",
            "fax_number": "509-242-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E 5TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623818",
            "telephone_number": "360-477-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY SERVICES 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "MUNDY",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "509-209-8822"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WA",
            "license": "603230607",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSII LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 5, 2024; 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.