Organization Active NPI

Powers Enrichment Group Inc

Doing business as SYNERGY HomeCare North Seattle & South Snohomish County

  • In Home Supportive Care Agency
  • Issaquah, WA
National Provider Identifier
1972882611
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
IHS-FS-60105273 Issued in WA
Legal business name
POWERS ENRICHMENT GROUP INC
Doing business as
SYNERGY HomeCare North Seattle & South Snohomish County
Synergy HomeCare
Practice address
1595 NW Gilman Blvd Ste 7
Issaquah, WA 98027-5329
Phone
(425) 988-3759
Fax
(425) 651-2742
NPI assigned
Aug 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Tracy D Powers
Title
General Manager/Owner
Phone
(425) 988-3759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X IHS-FS-60105273 WA Primary

Addresses

Primary practice location

1595 NW Gilman Blvd Ste 7
Issaquah, WA 98027-5329

Mailing address

1595 NW Gilman Blvd Ste 7
Issaquah, WA 98027-5329
Phone (425) 988-3759

Other practice location 1

1833 N 105th St Ste 203
Seattle, WA 98133-8973
Phone (206) 508-7373

Other practice location 2

11400 Airport Rd Ste 200
Everett, WA 98204-8711
Phone (425) 988-3759

Other identifiers 2

IdentifierTypeStateIssuer
602-933-704OtherWAWA UBI
IHS.FS.60105273OtherWAWA DEPARTMENT OF HEALTH

Other names 3

  • SYNERGY HomeCare North Seattle & South Snohomish County Doing business as
  • Synergy HomeCare Doing business as
  • SYNERGY HomeCare East King County Other name

National Provider Directory

National Provider Directory

Locations

1595 NW Gilman Blvd
Ste 7
Issaquah, WA 98027
Phone (425) 988-3759

1605 NW Sammamish Rd
Ste 250
Issaquah, WA 98027

1275 12th Ave NW
Ste 5
Issaquah, WA 98027

1833 N 105th St
Ste 203
Seattle, WA 98133
Phone (206) 508-7373

NPI Registry JSON

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1972882611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 NW GILMAN BLVD STE 7",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275329",
            "telephone_number": "425-988-3759",
            "fax_number": "425-651-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 NW GILMAN BLVD STE 7",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275329",
            "telephone_number": "425-988-3759",
            "fax_number": "425-651-2742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1833 N 105th St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981338973",
            "country_code": "US",
            "telephone_number": "206-508-7373",
            "fax_number": "425-651-2742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11400 Airport Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982048711",
            "country_code": "US",
            "telephone_number": "425-988-3759",
            "fax_number": "425-651-2742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POWERS ENRICHMENT GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "GENERAL MANAGER/OWNER",
        "authorized_official_telephone_number": "425-988-3759"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "IHS-FS-60105273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA UBI",
            "identifier": "602-933-704",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPARTMENT OF HEALTH",
            "identifier": "IHS.FS.60105273",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SYNERGY HomeCare North Seattle & South Snohomish County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Synergy HomeCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SYNERGY HomeCare East King County",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.