Organization Active NPI

Concerned Citizens

  • Home Health Agency
  • Forks, WA
National Provider Identifier
1841447752
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
IS-264 Issued in WA
Legal business name
CONCERNED CITIZENS
Practice address
945 S Forks Ave
Forks, WA 98331
Phone
(360) 374-9340
Fax
(360) 374-4346
NPI assigned
Aug 21, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Linda Carroll
Title
Program Specialist
Phone
(360) 374-9340

National Provider Directory

National Provider Directory

Locations

945 S Forks Ave
Forks, WA 98331
Phone (360) 374-9340

Specialties & licenses 5

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Home Health Agency 251E00000X IS-264 WA Primary
Early Intervention Provider Agency 252Y00000X IS-264 WA

Addresses

NPPES NPI Registry

Primary practice location

945 S Forks Ave
Forks, WA 98331

Mailing address

PO Box 1787
Forks, WA 98331-1787
Phone (360) 374-9340

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 25, 2025.

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1841447752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1787",
            "city": "FORKS",
            "state": "WA",
            "postal_code": "983311787",
            "telephone_number": "360-374-9340",
            "fax_number": "360-374-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 S FORKS AVE",
            "city": "FORKS",
            "state": "WA",
            "postal_code": "98331",
            "telephone_number": "360-374-9340",
            "fax_number": "360-374-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERNED CITIZENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PROGRAM SPECIALIST",
        "authorized_official_telephone_number": "360-374-9340"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "IS-264",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "WA",
            "license": "IS-264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forks, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.