NPIMap

Organization Active NPI

Pammys Home Health Care Service

  • Nurse's Aide
  • Spanaway, WA
National Provider Identifier
1952990616
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Legal business name
PAMMYS HOME HEALTH CARE SERVICE
Practice address
19819 17TH Avenue CT E
Spanaway, WA 98387-1813
Phone
(253) 375-6346
NPI assigned
Jan 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Brandy D Gray
Title
Co-Owner/Manager
Phone
(253) 375-6346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 376K00000X Primary

Addresses

Primary practice location

19819 17TH Avenue CT E
Spanaway, WA 98387-1813

Mailing address

19819 17TH Avenue CT E
Spanaway, WA 98387-1813
Phone (253) 375-6346

Other identifiers 1

IdentifierTypeStateIssuer
1120351415OtherMILITARY DOD NUMBER

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Spanaway Direct
Other URL Spanaway Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1952990616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19819 17TH AVENUE CT E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983871813",
            "telephone_number": "253-375-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19819 17TH AVENUE CT E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983871813",
            "telephone_number": "253-375-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMMYS HOME HEALTH CARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO-OWNER/MANAGER",
        "authorized_official_telephone_number": "253-375-6346"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MILITARY DOD NUMBER",
            "identifier": "1120351415",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Spanaway",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "19819 17th Avenue Ct E",
            "city": "Spanaway",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983871813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Spanaway",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "19819 17th Avenue Ct E",
            "city": "Spanaway",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983871813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spanaway, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.