NPIMap

Organization Active NPI

Paradox Northwest Associates, Inc

  • Home Health Agency
  • Vancouver, WA
National Provider Identifier
1770644668
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
IS-007 Issued in WA
Legal business name
PARADOX NORTHWEST ASSOCIATES, INC
Doing business as
Homewatch Caregivers of Southwest Washington
Practice address
205 E 11TH St
Suite LL1
Vancouver, WA 98660-3200
Phone
(360) 992-5956
Fax
(360) 992-5958
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ted Alby, PH.D.
Title
Administrator
Phone
(360) 992-5956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IS-007 WA Primary

Addresses

Primary practice location

205 E 11TH St
Suite LL1
Vancouver, WA 98660-3200

Mailing address

205 E 11TH St
Suite LL1
Vancouver, WA 98660-3200
Phone (360) 992-5956

Other identifiers 1

IdentifierTypeStateIssuer
112372OtherWAKAISER ID

Other names 1

  • Homewatch Caregivers of Southwest Washington Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Homewatch Caregivers of Southwest Washington3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770644668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 11TH ST",
            "address_2": "SUITE LL1",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603200",
            "telephone_number": "360-992-5956",
            "fax_number": "360-992-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 11TH ST",
            "address_2": "SUITE LL1",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603200",
            "telephone_number": "360-992-5956",
            "fax_number": "360-992-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADOX NORTHWEST ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALBY",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-992-5956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "IS-007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER ID",
            "identifier": "112372",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewatch Caregivers of Southwest Washington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.