In-Home Care, Northern Suburbs, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

IN-HOME CARE, NORTHERN SUBURBS, LLC

Practice address

6405 218TH St SW Ste 308
Mountlake Terrace, WA 98043-2180

Phone

(425) 697-6060

Fax

(425) 507-2032

NPI assigned

May 28, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Philip Anderson

Title

Owner

Phone

(425) 697-6060

Specialties & licenses 2

Addresses

Other names 1

• Home Instead Senior Care #822 Doing business as

Locations

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1932723665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 218TH ST SW STE 308",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432180",
            "telephone_number": "425-697-6060",
            "fax_number": "425-507-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 218TH ST SW STE 308",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432180",
            "telephone_number": "425-697-6060",
            "fax_number": "425-507-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN-HOME CARE, NORTHERN SUBURBS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-697-6060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care #822",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Instead Senior Care #822",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.