Organization Active NPI

Linden House

  • Home Health Agency
  • Winlock, WA
National Provider Identifier
1710747415
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LINDEN HOUSE
Practice address
402 SE 1St Street
Winlock, WA 98596
Phone
(360) 355-3617
NPI assigned
Mar 20, 2024
Last updated
Oct 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Marita Levanen
Title
Administrator
Phone
(360) 355-3617

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X Primary
Voluntary or Charitable Agency 251V00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Respite Care 385H00000X

Addresses

Primary practice location

402 SE 1St Street
Winlock, WA 98596

Mailing address

PO Box 999
Toledo, WA 98591-0999
Phone (360) 355-3617

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1710747415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 999",
            "city": "TOLEDO",
            "state": "WA",
            "postal_code": "985910999",
            "telephone_number": "360-355-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 SE 1ST STREET",
            "city": "WINLOCK",
            "state": "WA",
            "postal_code": "98596",
            "telephone_number": "360-355-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDEN HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "LEVANEN",
        "authorized_official_first_name": "MARITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-355-3617"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winlock, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.