Active NPI
Specialty Services 2 LLC
Doing business as Ssii LLC
- Substance Abuse Rehabilitation Facility
- Port Angeles, WA
National Provider Identifier
1649668666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 603230607
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Abhs Speciality Services 2 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Chehalis, WA
- NPI 1962751503
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.