Organization Active NPI

Homewell Senior Care, Inc.

  • In Home Supportive Care Agency
  • Lynnwood, WA
National Provider Identifier
1730327453
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
IHS.FS.00000331 Issued in WA
Legal business name
HOMEWELL SENIOR CARE, INC.
Practice address
5108 196TH St SW Ste 330
Lynnwood, WA 98036-6152
Phone
(425) 967-1111
NPI assigned
Feb 3, 2009
Last updated
Feb 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Authorized official

Name
Mr. Joshua Hoffman
Title
Owner/Administrator
Phone
(425) 967-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X IHS.FS.00000331 WA Primary

Addresses

Primary practice location

5108 196TH St SW Ste 330
Lynnwood, WA 98036-6152

Mailing address

5108 196TH St SW Ste 330
Lynnwood, WA 98036-6152

National Provider Directory

National Provider Directory

Locations

5108 196th St SW
Ste 330
Lynnwood, WA 98036
Phone (425) 967-1111

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1730327453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 196TH ST SW STE 330",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 196TH ST SW STE 330",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366152",
            "telephone_number": "425-967-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEWELL SENIOR CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "425-967-1111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "IHS.FS.00000331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.