Ann Judith in Home Caregivers of Western Washington

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

IHS.FS.00000088 Issued in WA

Legal business name

ANN JUDITH IN HOME CAREGIVERS OF WESTERN WASHINGTON

Doing business as

Homewatch Caregivers

Practice address

6912 220TH St SW
Suite #107
Mountlake Terrace, WA 98043-2169

Phone

(425) 778-1288

Fax

(206) 260-3906

NPI assigned

Feb 2, 2015

Last updated

Feb 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dale Kiesz

Title

Owner

Phone

(425) 778-1288

Specialties & licenses 1

Addresses

Other names 1

• Homewatch Caregivers Doing business as

Locations

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1659761328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 220TH ST SW",
            "address_2": "SUITE #107",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432169",
            "telephone_number": "425-778-1288",
            "fax_number": "206-260-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 220TH ST SW",
            "address_2": "SUITE #107",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432169",
            "telephone_number": "425-778-1288",
            "fax_number": "206-260-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN JUDITH IN HOME CAREGIVERS OF WESTERN WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "KIESZ",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-778-1288"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "IHS.FS.00000088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewatch Caregivers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• In Home Supportive Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.