Active NPI
Kelly Ann Leveque
- Home Health Agency
- Vancouver, WA
National Provider Identifier
1710566500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 60450910
- Practice address
- 406 SE 131St Ave Ste 205
Vancouver, WA 98683-4013 - Phone
- (360) 687-0025
- Fax
- (877) 360-9140
- NPI assigned
- Apr 7, 2021
- Last updated
- Apr 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 60450910 | WA | Primary |
Addresses
Primary practice location
406 SE 131St Ave Ste 205
Vancouver, WA 98683-4013
Mailing address
406 SE 131St Ave Ste 205
Vancouver, WA 98683-4013
Phone (360) 687-0025
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | vancouverwa@comfortkeepers.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60450910 | WA | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vancouver Senior Care | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Comfort Keepers
- In Home Supportive Care Agency
- Vancouver, WA
- NPI 1053001776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1710566500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 SE 131ST AVE STE 205",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986834013",
"telephone_number": "360-687-0025",
"fax_number": "877-360-9140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 SE 131ST AVE STE 205",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986834013",
"telephone_number": "360-687-0025",
"fax_number": "877-360-9140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVEQUE",
"first_name": "KELLY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-07",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "WA",
"license": "60450910",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "vancouverwa@comfortkeepers.com",
"affiliation": "N",
"endpointDescription": "encrypted email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "406 SE 131st Ave Ste 205",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986834013",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.