Organization Active NPI

Pope's Kids Place

  • Home Health Agency
  • Centralia, WA
National Provider Identifier
1790914109
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
POPE'S KIDS PLACE
Practice address
230 Washington Way
Centralia, WA 98531-9325
Phone
(360) 736-9178
Fax
(360) 736-8312
NPI assigned
Jul 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Authorized official

Name
Angela Dickson
Title
HR
Phone
(360) 736-9178

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Respite Care 385H00000X IHS.FS.60083889 WA

Addresses

Primary practice location

230 Washington Way
Centralia, WA 98531-9325

Mailing address

230 Washington Way
Centralia, WA 98531-9325
Phone (360) 736-9178

National Provider Directory

National Provider Directory
Tax ID family
Pope's Kids Place4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1790914109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 WASHINGTON WAY",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319325",
            "telephone_number": "360-736-9178",
            "fax_number": "360-736-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 WASHINGTON WAY",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319325",
            "telephone_number": "360-736-9178",
            "fax_number": "360-736-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPE'S KIDS PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "HR",
        "authorized_official_telephone_number": "360-736-9178"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "WA",
            "license": "IHS.FS.60083889",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.